ECA Water Polo NEW athlete Form - Try for free (2 weeks)

We go all year long... Spring, Summer, Fall, & Winter! We also offer Splashball for ages 5 - 7 during summer - check out our website!

Summer Session Dates: 
May 13th  -  July 19th
Ages 7 - 18
*No practice 5/27 & 7/4*
Click here for Dates, Times, & Site
No Experience necessary... it's never too late to sign up!

See ECA website TEAM PAGE for age specific practices.
Questions - Email us at EASTCOUNTYAQUATICS@GMAIL.COM

Complete this form & the USA Water Polo trial membership BEFORE attending your 1st practice. 

Athlete's Be Prepared:
- Wear suit & shoes (Day practice - Sunscreen too!)
- Bring goggles, towel, & water
- Completed & signed USA Water Polo Trial Membership

Follow & Tag us on ...
Instagram @eastcountyaquatics
Facebook @ecawaterpolo

We look forward to coaching your athlete.                                 

PARENT/GUARDIAN EMAIL PLEASE AND THANK YOU!
Sign in to Google to save your progress. Learn more
Email *
Athlete's Name (First & Last) *
Athletes Age (As of August 1, 2024) *
Athlete's Birthday (mm/dd/yyyy) *
MM
/
DD
/
YYYY
USA Water Polo TRIAL Membership. Go to the website, print, complete, sign, and bring to the first practice. *
Emergency Contact Information (Name & relationship to the athlete) *
Emergency Contact Cell # *
Medical Information  - Insurance Name, Member #, Phone #, Hospital, and any allergies. *
How did you hear about us? *
Practices start the week of May 13th. We look forward to coaching you! 
See ECA website TEAM PAGE for age specific practices or CLICK HERE.
Questions - Email us at EASTCOUNTYAQUATICS@GMAIL.COM

Help us spread the word to the community. : )
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