INDY Aquatic Masters

Trial Workout


Step 1 of 3

INDY Aquatic Masters
USMS

  • Biographical
  • Waiver
  • Payment

Instructions Please fill out this form and submit it.  After you submit it, you will be sent to a page that has all your information printed on a coupon.  Please print this coupon and bring it with you to a workout for your free trial.

* Starred fields are required



Phones



Address



2018/2019 U.S. Masters Swimming (USMS)
Use all 10 digits, i.e. 3348-0000A
Register for USMS | Retrieve USMS Number

Emergency Contact

(Discount rate will be applied after verification of eligibility.)

(Discount rate will be applied after verification of eligibility.)

(Discount rate will be applied after verification of eligibility.)

What workout location will you swim?
Would you like to receive the workouts each week via email?

(Workouts are emailed each week as a benefit to current, registered IAM members only.)

How did you find out about us?

Trial Workout Information

(mm/dd/yyyy)


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