Long Beach State University Masters

Long Beach State University Masters

Trial Workout


Step 1 of 3

Registration Image

  • Biographical
  • Waiver
  • Payment
  • Receipt

Instructions Fill in 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.  Print this coupon and bring it with you to a workout for your free trial.

* Starred fields are required

Phones

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

Employer Information

(Name of the company)

Emergency Contact


How did you hear about us?
Background/Experience
Reason For Joining
Pace Per 100 Free in a 25 SCY pool
Current Swimming Activity

Trial Workout Information

(mm/dd/yyyy)