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Request Trout Membership

Name*

Preferred Pronouns

Email*

Phone*

Birthday*

Month

Day

Year

Membership Requested:*

Swimming and Water Polo - Monthly - $50

Swimming and Water Polo - Daily - $15

Swimming and Water Polo - Yearly - $550

Water Polo Only - Monthly - $42

Water Polo Only - Daily - $15

Water Polo Only - Yearly - $462

*Student Monthly - $25

* Students must use a university email address and will be asked to provide proof of enrollment

Primarily Interested In

USMS / USAWP Membership Number*

Are you interested in Triathalon Training?

Emergency Contact Name*

Emergency Contact Phone Number*

How did you find out about the Trout?

Referring Member (if you heard about us from a Trout)

T-Shirt Size

Message (optional)

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