2022 Water Polo Registration

Water Polo Team registration cost: $100.00 + 3% processing fee.

Parent/Guardian Information

Parent/Guardian Name(Required)
Address(Required)

Participant's Information

Participant's Name(Required)
MM slash DD slash YYYY
Age as of June 15, 2022

Waivers

Athlete Code of Conduct/Electronic Communication Policy(Required)
Parent/Guardian Code of Conduct(Required)
Concussion Information(Required)

Payment

Credit Card(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date