Registration Instructions

Please provide your information in the form below. 
Make sure you enter your name and email address. If you like to receive notifications via text please provide your phone number and carrier. 
For any other fields provide only data that you feel comfortable to provide. In other cases please use "***" or "NA"

Questions? All registration questions can be directed to mike@hulllifesavingmusem.org.

NOTE: A registration code is required. Contact a club administrator to obtain the code.





  

  












(includes Phone, Email, Age, Addr, Emerg. Contact, T-Shirt Size, Preferred Pronouns)



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