WATER POLO Registration  2021
Please fill out the below form with the details of the student wanting to participate.
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Email *
Student First Name *
Student Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Year Level *
As part of our Water polo Squad please select what you are interested in: *
Required
Have you played water polo before? (don’t worry if you haven’t we can teach you!) *
If No (to above), Are you competent in deep water?
Clear selection
Parent/Guardian Email *
Student - Do you have any medical conditions? If yes please specify. *
Payment *
Required
Parents Consent/Approval  (please write parents name) *
Can you assist with any of the following? *
Required
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