College Club Swimming - Online Registration

Verify the information below.

* Starred fields are required

First Name *

Last Name *

University or College Name

Embry-Riddle University

Work Phone *

Texting Cell

Mobile provider

Club Email *

Country *

College Club Swim Program Name *

Embry-Riddle Swimming Club

Club Abbreviation *

Erau

City *

Daytona Beach

State *

ZIP Code *

32114

If the above information needs to be changed, email collegeclub@usmastersswimming.org.

Your club's Facebook page, if you have one:

Your club's website URL, if you have one:

Total Members in Club (competitive and non-competitive): •

1-20

21-50

51+