Registration Details Polo Bears 2024/25 Season
Expressions of Interest are requested for the Summer Season to ensure we can plan for our player, coaching, refereeing and team numbers. In addition, we are planning to get an early indication of interest for AYWPC in Perth in April 2025
Player Name
First Name
Last Name
Gender
Male
Female
Date of Birth
-
Day
-
Month
Year
Date
Parent/Carer Name
First Name
Last Name
Parent/Carer Email
example@example.com
Parent/ Carer Phone Number
Please enter a valid phone number.
Player Contact Email (if different)
example@example.com
Player Contact Phone Number
Please enter a valid phone number.
Are you planning to play/trial for another club?
Yes
No
Will Polo Bears be your Primary or Secondary Club?
Primary
Secondary
Which Junior Grades do you wish to play/trial for at Polo Bears in the BWPI 2024/25 Season? (please select all relevant, up to 3 Age Groups):
U12 (Born 2013,14,15,16)
U13 (Born 2012,13,14,15)
U14 (Born 2011,12,13,14)
U15 (Born 2010,11,12,13)
U16 (Born 2009,10,11,12)
U17 (Born 2008,09,10,11)
U18 (Born 2007,08,09,10)
NB: Any Junior Players wishing to play in senior teams please complete box below as well. THERE IS NO U17 FOR BOYS.
Which Senior Grades do you wish to play/trial for at Polo Bears in the BWPI 2024/25 Season?
WPQ Premier League (Born 2008 or earlier)
BWPI Senior A Grade
BWPI Social Grade
None
Are you interested in refereeing in the BWPI 2024/25 season?
Yes
No
Are you interested in coaching or assistant coaching in the BWPI 2024/25 Season?
Yes
No
Are you prepared to help the club by taking a role as a Manager/Committee Member or other job? If Yes, please fill in preferred role.
Australian Youth Waterpolo Championships - Perth April 2025. Indicate which team(s) you are interested AND available to play in. Estimated cost $700-800. Flights and Accomodation extra. (Max 2 x Age Divisions)
U12 (Born 2013,14,15,16) 20 - 24 April 2025
U14 (Born 2011,12,13,14) 14 - 18 April 2025
U16 (Born 2009,10,11,12) 20 - 24 April 2025
U18 (Born 2007,08,09,10) 14 - 18 April 2025
Not Available
Comments
Any Additional Information Relevant to your EOI e.g. Playing History Etc
Submit
Should be Empty: