Santa Cruz Masters & Santa Cruz Surf Life Saving Assn

* Starred fields are required

First Name *

Last Name *

Sex *

Female Male

Birth Date *

Minimum Age: 6

Maximum Age: 17

Age Determining Date: 08/17/2024

Home Phone *

Email *

Country *

Street *

Street 2

City *

State *

ZIP Code *

Club/Team *

Member ID

Club/Team Instructions:

Begin typing your club name in the Club/Team field above and select it from the drop-down menu that will appear. If your club is not in the list, you may start to type "None" or "UNAT" and select that, by CLICKING on it, from the list that will appear below the box. Leave the "Member ID" field blank. To request that your Club/Team be added to the list, send an email to scott_patterson@comcast.net

Wetsuit or No Wetsuit? •

Wetsuit

No Wetsuit

Age 17 & Under Registration for 2024 Santa Cruz Annual Roughwater 1 Mile Swim

Saturday, August 17, 2024

Open Water Registration