Rocklin High School Water Polo Camp
Student Athletes' Last Name
*
Student Athletes' First Name
*
Parent Cell Phone
*
Parent Email Address #1
*
Parent Email Address #2
Home Address
*
Grade (Fall 22)
*
3rd
4th
5th
6th
7th
8th
Gender
Boy
Girl
T-Shirt Size
*
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
My Products
*
prev
next
( X )
H2O Polo Camp Week 1 June 13-17
$
80.00
H2O Polo Camp Week 2 June 20-24
$
80.00
Both Weeks - H2O Polo
$
160.00
Pay with Credit Card
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
Should be Empty: