Vine Water Polo Summer Splashball
Water polo introduction for boys and girls age 5-7 Beginners
Sign in to Google to save your progress. Learn more
Email *
By checking "yes", you guarantee your child has basic swimming skills and is water safe. *
Sessions *
Required
Player's First Name *
Player's Last Name *
Player's Age *
Parent's First Name *
Parent's Last  Name *
Parent's Phone Number *
Payment *
Cost $110 per session
Splashball Pass Holder Number *
To obtain your number, go to www.usawaterpolo.org and sign up for a "Splash Ball Pass Holder" - Cost is $15.                                               Vine Water Polo Club (ID 26053)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy