2022-23 Competitive Program *Expression of Interest Survey*

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Are you interested in playing in the Competitive Water Polo program next season?

The competitive Water Polo program is for 15U, 17U and 19U age groups.

Each program will travel to 3-5 competitions per season to compete against other top clubs in the country. The exact dates and locations of the competitions are TBC. Please note that competitive program athletes will also participate in local contests.

Athletes involved in the competitive program should expect to practice 5-6x/week, although the younger athletes (born in 2008-2010) will practice closer to 4x/week with the option to do 5-6x/week.

Please let us know your interest by completing this short survey.

2022-23 Competition Calendar *DRAFT *

Athlete Name (First and Last) *

Birth Year *

2010

2009

2008

2007

2006

2005

2004

Other:

Which program would you play for? *

Girls Program

Boys Program

How many years have you played Water Polo? *

1 year

2 years

3 years

4 years

5 years

6+ years

Other:

What position do you play? *

Goalie

Field Player

Required

Primary Practice Location *

Winnipeg, MB

Brandon, MB

Other:

My athlete wants to be considered for the competitive team(s) that compete against other top clubs in the country. *

Yes

Other:

I am aware of the fact that taking part in a competitive program entails travel, the cost of which is the responsibility of each family. *

Yes, I understand there will be additional costs involved to travel to competitions outside the province.

Other:

More training and preparation are required to compete against the other top clubs in the nation. Athletes in the competitive program should plan on practicing 5–6 times per week. The youngest athletes (those born in 2008–2010) will practise closer to four times a week, with the option of practicing 5-6x/week. *

Yes, I understand that more time is devoted to training at the competitive level.

Other:

Parent/Guardian Name (first, last) *

Parent/Guardian Email *

Parent/Guardian Cell Phone *

Parent/Guardian Name (2)

Parent/Guardian Email (2)

Parent/Guardian Cell Phone (2)

CHAPERONES NEEDED: If my child travels with the team, I would like to be considered as the chaperone. The chaperone's trip expenses are covered by the team. *

YES

Other:

FUNDRAISING & SPONSORSHIP: In order to lower the expense of travel for the Competitive Program, I would like to serve as a volunteer in a group that seeks both fundraising and sponsorship opportunities. *

YES

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