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New Member Application

We are currently experiencing technical difficulties with the automated form submission.  For now, please complete then PRINT this form and bring it with you to practice.  You can hand it to the coach or any of our board members.  Mahalo.
New Member Information
Items marked with an * are required
*Name
*Street Address
*City, State, ZIP , ,
Date of Birth (mm/dd/yy) / /
*Phone Number(s) (home)
  (cell)
Email Address
Your email address and other member information will not be shared outside the club. 
 
I would like to receive club email announcements.
yes   no
This is our main way of communicating with you about weekend swims, schedule changes, social gatherings, etc.  Our mailing list is closed to non-members and therefore does not receive spam.  Roster updates are processed about once a month.  It may take as long as a month before your email address is added to our distribution list.

Swimming Goals
Check all that apply
I want to improve my speed
I want to improve my endurance
  I want to improve my stroke techniques
  Free
  Butterfly
  Breaststroke
Backstroke
I plan to participate in ocean swims, improve my open water swim skills
I want to improve my competitiveness as a bi / triathlete
Please describe any additional or more specific goals of yours

Club Events
I am interested in participating in KMSC social events
I am interested in assisting KMSC in club-sponsored events