Welcome to USA Diving's Membership Management System!

USA Diving - Club Registration/Renewal

Club & Contact Information

Confirm & Checkout
 
*NOTE - If you already hold a membership with USA Diving or if you are looking to renew your Club membership, please click here to login.
Club Membership
Price: $125.00
Membership Dates: 8/3/2015 - 8/31/2016
Club Information
Club Name:
Club Short Name:
Address:
Address2:
City:
State:
Zip: -
Country:
Club Contact:  
Club Coach:
Phone:
Fax:
Club Email:
Web Address:
Facebook Page:
Twitter Handle:
Club Contact Information
* Name:   
* Address:
Address 2:
* City:
*State:   Zip:
* Country:
* Email:
Phone: EXT:
* Birthdate, (mm/dd/yyyy):
You must renew your own membership before you can add a new Club.