Water Polo Registration Form

Water Polo Clinic Registration Form

NOTE: No parent/coach on deck without US Water Polo Background Check
Swimmer's Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Parent/Guardian Name

First NameLast Name
Parent/Guardian E-mail
example@example.com
Parent/Guardian Mobile Number
Swim Team Name*
All Registrants must complete the following form before attending the clinic: https://usawaterpolo.org/documents/2023/2/28/Updated_2023_Trial_Athlete_Form.pdf
Comments

Registration Fee:

USDRegistration is $30 per person

Credit Card

Apple Pay

Google Pay

Water Polo Clinic Registration Form