Registration


Welcome to the Midwest Aquatics registration form. If you have filled out this form previously, please don't do so again. All you need to do is log in to your existing account by clicking here.
If you have any questions about this registration form, please give us a call at (913) 402-0403.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Click to Enter an International Number
Additional Info
Contact #1
How Can We Contact You?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card