ESWP 2022-2023 Splashball Winter Season Registration
What is Splashball?
Splashball is an excellent segway into learning teamwork and sportsmanship as well as developing important swimming skills. Just like Baseball programs have T-Ball, our equivalent to that type of programming is Splashball.
The 2022-2023 Winter Season is hosted in partnership with Evanston High School. The first winter practice is on Sunday, December 11th and the final practice for the season is on Sunday, March 3rd.

WHY PLAY SPLASHBALL?
   
FUN! – Splash Ball is FUN; participants, coaches, referees and parents alike will have a blast with our program!!!
Friendships – Athletes will make new friends and learn to work together.
Sportsmanship –Team sports build respect amongst teammates and opponent.
Leadership –Through team sports, leadership qualities and traits are developed.
Teamwork– Splash Ball provides a foundation to teach participants that working together towards a common goal can lead to positive outcomes, win, lose or draw
Water Safety – Learning to swim through Splash Ball will enhance a participant’s ability to tread water, and improve their confidence in the water all while learning fundamental swimming strokes and techniques.

Please complete all sections of this form. This form contains our mandatory registration, emergency contact and liability release forms. If you have any questions about the online submission, please do not hesitate to contact us, SplashBall@EastSideWaterPolo.org or 847-833-0815.

All practices will be held at Evanston Township High School.

Opening Day:
12/11/22 at Evanston Township High School.

Sunday @ Evanston
8:55 AM Check-In
9:00 AM Start Time
9:00 AM - 10:00 AM Practice

12/11, 12/18, 1/8, 1/15, 1/22, 1/29, 2/5, 2/12, 2/26, & 3/5

PAYMENT INFORMATION:
Winter 2022: December 11th - Februray 26th
$150 - We currently accept Zelle, which is strongly preferred (also known as QuickPay) or checks. Please write the members name(s) on the memo line on Zelle and on the Check. Checks can be made payable to "East Side Water Polo" and brought to practice.

For payments sent via Zelle/QuickPay, use the following email Billing@EastSideWaterPolo.org

*** ALL athletes will ALSO need to register for USA Water Polo "Splashball Pass Holder" and remain current throughout the season ($15 calendar year membership. Expires 12/31/22).
https://usawp.sport80.com/public/wizard/a/1168/home

* Required
 
Frequently Asked Questions -

What skills should I expect my child to learn?
Each player will learn vital swimming skills and will learn head down and head up style freestyle, how to tread water and stay afloat in the water while holding, passing and shooting a ball. Other skills they will learn will be:
Water Polo Lunging and Blocking
Non contact Water Polo Defense and strategy
Water Polo Offensive movements and strategies
Shooting, Passing and Goal Keeping
Rules and Regulations of Water Polo and SplashBall
 
Does my child have to swim unassisted the entire time?
For Splashball age 6-8, they are allowed to jump off the bottom and use flotation devices to assist them staying afloat during practice and games. Our Goal is teach vital swim skills so that the kids don’t require the assistance, however it is not a requirement of the official game. For U14 and HS level, all swimmers are required to swim unassisted for the entire time.
 
What are the Rules of Splashball? Is it as physical as Water Polo?
All the Rules of Splashball are located on the USA Water Polo website (usawaterpolo.org/splashball) and are similar to Water Polo except for the physical contact. Splashball is an introductory level to Water Polo and the game is meant to be non contact. However, the players will learn how to steal and block in a manner that does not require traditional water polo contact.
 
What if I can’t make all the practice sessions?
All practices are not mandatory. We encourage members to attend as often as their schedule allows.
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Email *
ATHLETE Full Name *
Nickname
Birthday *
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DD
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YYYY
What school do you attend? *
What is your USAWP Member ID #? *
All members must have an updated USA Water Polo Splashball Pass Holder - $15 for a calendar year. All USAWP memberships expire on 12/31/22 and must be renewed shortly after 1/1/23. Use this link to signup with USAWP  - https://usawp.sport80.com/public/wizard/a/1168/home
Parent/Guardian 1 FULL Name *
Parent/Guardian 1 Email Address *
Parent/Guardian 1 Phone # *
Parent/Guardian 2 FULL Name
Parent/Guardian 2 Email Address
Parent/Guardian 2 Phone #
Home Address *
Home Phone # *
Emergency Information / Medical Release
Though we do not expect there to ever be a problem, we must have all of this information just in case. We want to make sure your kids are always safe and protected!
Emergency Contact Name *
Emergency Contact Phone # *
Relationship *
Insurance Company *
Insurance Company Phone # *
Group / Policy # *
ID # *
Primary Care Physician *
Hospital / Affiliation *
Physician's Phone # *
I agree to follow all current CDC guidance including staying home from practice if I test positive for COVID-19.
 *
Medical Conditions *
Please indicate ANY medical conditions: allergic reactions, contact lenses, asthma, **previous/current injuries**, current medications, etc.
East Side Water Polo, LLC Photo, Video & Social Media Release
In an effort to promote ESWP, we have created an Instagram handle (eastsidewp) and a Facebook page (eastsidewaterpolo).
The content: Recognizing individual/team achievements, promoting local and national events, photos or videos of practices/games/tournaments/scrimmages.
I, the guardian of _________ (athlete full name) *
East Side Water Polo, LLC will use photographs and/or videos and quotations from our members in our website and social media pages. These photos, videos and quotations are never associated with the full name of the member. Photos, videos and quote are used solely to promote ESWP. *
Parent / Guardian Consent *
Parent / Guardian Consent: I give my consent/permission to any supervising coach of East Side Water Polo Club, and the right, on my behalf and in my stand, to arrange for licensed and certified physicians, nurses and/or athletic trainers to render and provide immediate treatment to my child as to injuries that may be sustained by my child while participating in any practices, contests or other activities for East Side Water Polo, whether directly or indirectly, and whether sustained during practice or in active interscholastic competitions, and without any further or additional authorization by me. My permission and consent also extends to the right of any such supervising coach or East Side Water Polo personnel to arrange for immediate medical treatment by a licensed or certified physician, nurse, and/or athletic trainer, and for them to apply such emergency medical techniques to my child where, in their judgement, it is deemed appropriate by reason of any injury sustained by my child.
Parent / Guardian Full Name Giving Consent *
WAIVER AND RELEASE OF ALL CLAIMS FOR PARTICIPATION IN EAST SIDE WATER POLO, LLC
Name of Participant (ATHLETE) *
Please read carefully and be aware that in enrolling and participating in the above program, you will be waiving and releasing all claims for injuries you or the above participant may sustain. As a participant or guardian of a participant in the program, I recognize and acknowledge that there are certain risks of physical injuries, including death, damages or losses which I or the above participant may sustain as a result of his/her participation in any and all activities connected with or associated with such program. I hereby fully release and discharge East Side Water Polo, LLC, its members, officers, employees and agents, including the East Side Water Polo Board and any parent volunteers (hereinafter referred to collectively as “Indemnitees”) from any and all claims from injuries, including death, damages or losses which I or the above participant may sustain or which may accrue on account of participation in the program. I do hereby as a parent or guardian or participant specifically release and discharge the Indemnitees from any causes of action I may have as a parent or guardian for support, mental or emotional damage or otherwise arising out of my relationship to the participant. I further agree to indemnify and hold harmless and defend the Indemnitees from any and all claims resulting from injuries, including death, damages and losses sustained by me or the above participant and arising out of, connected with, or in any way associated with the activities of the program. As a participant in this program, I also agree as a condition of my continued participation to act responsibly and adhere to all policies, rules and restrictions established by East Side Water Polo, LLC and the Illinois High School Association. By signing below I acknowledge that I know, understand, and appreciate the potential dangers associated with my participation in the Program. These hazards may include, but are not limited to, minor scrapes, strains, and bruises, as well as significant injuries such as bodily injury, medical conditions, scrapes, strains, paralysis, eye injury, concussions, fractures, drowning and property loss or damage. If I elect to participate in the Program, I do so voluntarily and totally at my own risk. * *
By initialing below, I am stating that I fully understand the nature of the above Program and this Waiver and Release of All Claims. I also acknowledge that I have had the opportunity to consult legal counsel about the terms of this Waiver and Release. (Just Guardian Initials)
Name of Consenting Guardian *
Comments
If you have any comments or questions, please do not hesitate to reach out to the Club Director, Jimmy Heard. Jimmy@EastSideWaterPolo.org / 847-833-0815
A copy of your responses will be emailed to the address you provided.
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