2022 Registration form

Personal Information Payment

Returning Member? Login to retrieve information from your previous registration.

* Indicates a required field

2022 Registration form

Parent/Guardian Information

At least one parent/guardian registration is required.
New accounts will be sent an email confirmation message with instructions to setup a password.

At least one parent/guardian email address must be provided.
Check the boxes to indicate which parent/guardians should receive team-wide emails.

First Name *	Email Address * Required for login
	Send team-wide email to this address	Remove
	Send team-wide email to this address	Remove
+ Add another parent/guardian

Athlete Information

Enter the information for each athlete being registered below. At least one Athlete registration is required.

First Name *	Preferred Name	Middle Initial	Last Name *	Gender *	Birth Date *
						Remove
						Remove
+ Add another Athlete

Home Address

Address *

City *

State/Province *

Zip/Postal Code *

Primary Phone *

Seacats Swim Club

Midstate Summer League Swim Conference

2022 Registration form