Create an Account

Re-enter Email Address

Password

Re-enter Password

First Name

Middle Initial

Last Name

Gender

Date of Birth

Home Phone

Cell Phone

Can you receive texts?

Address (must be a true street address)

PO Box (optional)

City

State/Province

Postal Code

Country

Preferred T-Shirt Size

Preferred Sweatshirt Size

RefPay User ID

RefPay Account Number

USAV/Canadian Certification

USAV Region/Canadian Province or Territory of Certification

USAV/Canadian Scorekeeping

USAV/Canadian Beach Certified

USAV/Canadian Member ID

PAVO Certification

AAU Membership as an official

AAU Certification

AAU Membership Number

Photo (Head and Shoulders only please)

No Image