Raumati Masters Swimming Club Membership Application

Raumati Masters Swimming Club Membership Application

Register for annual or 10-trip swim club membership, provide your contact and next of kin details, and review payment and NZMS registration information.
Member Information

Please provide your personal contact details.
Full Name*

First NameLast Name
Email Address*
example@example.com
Date of Birth*

DayMonthYear
Date
Phone Number*

Area CodePhone Number
Residential Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Next of Kin Information

Please provide details of your next of kin in case of emergency.
Next of Kin Full Name*

First NameLast Name
Relationship to Member*
Next of Kin Phone Number*

Area CodePhone Number
Membership Options and Payment

Select your membership type and review payment details.
Annual Membership ($210 or portion until renewal - 31 July)10-Trip Pass ($60)
Raumati Masters Swimming Club, Bank account for payments by Direct Credit 12-3157-0048970-00
Please transfer your membership fee to the club's bank account. Payment details will be provided after your submission is received. Membership is confirmed upon payment receipt.
NZMS Sanctioned Swimmer Registration

If you wish to register as a NZMS Sanctioned Swimmer (approx. $75), please use the link below.
Register as a NZMS Sanctioned Swimmer at: https://regoform.mygameday.app/#/qw8VYfDe99G3VHFvC4/muWgUUBuNNKWyTSA1G
I confirm that the information provided is accurate and I agree to the swim club's terms and conditions.*
Should be Empty:

Raumati Masters Swimming Club Membership Application

Member Information

Next of Kin Information

Membership Options and Payment

NZMS Sanctioned Swimmer Registration