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WATERPOLOOZA 2021 TEAM LIST FORM
Please fill out 1 form per team entering
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* Indicates required question
Club Name
*
Your answer
Team Name
*
Your answer
Division
*
BOYS Division 1
GIRLS Division 1
MIXED Division 2
Team Manager Name
*
Your answer
Team Manager Mobile Number
*
Your answer
Team Manager Email
*
Your answer
Team Coach Name
*
Your answer
Team Coach Mobile Number
*
Your answer
Team Assistant Coach Name
Your answer
Junior Referee Name
Your answer
Junior Referee Number
Your answer
Junior Referee Email
Your answer
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