Blue Wave Aquatics

Trial Workout

Free week of swim team practice. After your free week of swim team practice, you will receive a 50% discount on 1st month's dues!
* Starred fields are required
First Name *
Preferred (Nickname)
Middle Name
Last Name *
Birth Date * (mm/dd/yyyy)
Phone
Home
Work
Cell
Email * Label
Add Another Email Address
Street *
Street 2
City *
State *
ZIP *
2018 U.S. Masters Swimming (USMS) Club/Team Affiliation
Club/Team (Maximum of 5 alphanumeric characters)
Club/Team Name
Member Number use all 10 digits, i.e. 3348-0000A
Register for USMS | Retrieve USMS Number
Emergency Contact (Parent, Spouse, etc)
Name *   Relation
Phone *
Name 2 *   Relation 2
Phone 2 *

(New members receive 50% discount for 1st month. Select rate, discount will be applied before billing)

(Family members living in the same household receive 25% discount)

Trial Workout Information
Date Attend (mm/dd/yyyy)
Facility attend Covington Aquatic Center, Covington
Evergreen Pool, Seattle
Federal Way Community Center, Federal Way
King County Aquatic Center, Federal Way
other

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