Long Beach State University Masters

Trial Workout


Step 1 of 3

Long Beach State University Masters
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  • 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
(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)


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