College Club Swimming - Online Registration

Verify the information below.

* Starred fields are required

First Name *

Last Name *

University or College Name

North Carolina Central University

Work Phone *

Texting Cell

Mobile provider

Club Email *

Country *

College Club Swim Program Name *

North Carolina Central University Eagle Swim Club

Club Abbreviation *

Eagle

City *

Durham

State *

ZIP Code *

27707

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+