Orlando Thunder Water Polo Registration Winter 2020

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MIDDLE SCHOOL - WELCOME! We have space and are looking to grow!

HIGH SCHOOL - We have reached capacity. AS OF 11/14/2020 EVERYONE WILL BE PUT ON THE WAITING LIST! Please continue to fill out this form and you will be notified of an opening.

Event Timing: Nov. 16 - January 8th
Contact us at: orlandothunderwp@gmail.com

Athlete's First Name *

Athlete's Last Name *

Athlete's Email: *

Athlete's Cell Phone Number: *

Age: *

Birthdate *

YYYY

Gender *

Female

Male

Grade 2020-2021: *

#1 Parent/Guardian Name: *

#1 Parent/Guardian Phone Number *

#1 Parent/Guardian Email: *

#2 Parent/Guardian Name:

#2 Parent/Guardian Phone Number

#2 Parent/Guardian Email:

Primary Insurance Company Name: (answer n/a if you do not have insurance coverage) *

Insurance Policy Number and/or Group Number: (answer n/a if you do not have insurance coverage) *

A USA Water Polo membership is required for participation. Elite members need Gold, Varsity members need Silver, and Prep Team members need Bronze membership. What is your USA Water Polo number: *

Years of Water Polo Experience: *

No experience

Less than 1 year

1-2 years

2-3 years

3+ years

Dietary restrictions *

None

Vegetarian

Vegan

Kosher

Gluten-free

Other:

I understand that I must present a waiver signed by my parent/guardian or myself, if 18 years of age or older, in order to participate in any Orlando Thunder Activities. *

Yes

Required

I am aware that my parent(s) and I must sign and abide by the Orlando Thunder Parent Player Code of Conduct in order to participate in Orlando Thunder Activities. *

Yes

Required

I understand that I am responsible to pay the appropriate fees in order to be eligible for practices, scrimmages, and tournaments. I also understand that I am responsible to provide my own transportation and travel arrangements for out-of-town tournaments. *

Yes

Required

I agree to pay my Orlando Thunder Fees: *

in full (PayPal, cash, or check made out to Orlando Thunder)

in an installment plan: $100 every 2weeks until paid in full (required to submit request and get approval prior to being eligible to play).

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