Bainbridge Aquatic Masters

* Starred fields are required

First Name *

Last Name *

Sex *

Female Male

Birth Date *

Age Determining Date: 10/06/2024

Home Phone *

Email *

Country *

Street *

Street 2

City *

State *

ZIP Code *

Masters Swimming Canada (MSC) Club/Team Affiliation

Club/Team *

Member ID *

You may ONLY select a workout group above if you are a member of club PSM. Otherwise, leave the Workout Group field blank. •

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2024 BAMFest