2019-20 Winter Polo Program sign-up

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This registration form is strictly for our 2019-20 Winter Program. Once you have completed both your USWP registration or renewal, please mail Winter Program fees to --> Turlock United | 2713 Lester Road | Denair CA 95316

Email *

Athlete First Name *

Athlete Last Name *

Gender *

Boy

Girl

Athlete Date of Birth *

Please be careful to make sure your birth year is identified correctly. (We often see years left accidentally as 2019.)

YYYY

USA Water Polo Member # *

REQUIRED: Please register or renew with USWP to get your number BEFORE registering with T-United here.

2020 Playing Age (per USWP rules): *

What is your age on August 1, 2020?

High School players *

Which school are you attending?

Pitman

Turlock

N/A, I'm pre-high school

Pre-High School players: *

Which school are you attending? List your middle school, junior high or elementary school. High school players write N/A in the box.

Current grade in school *

Program & Amount due: *

NOTE: Any teams traveling to Orange County for the Kap 7 Invite on February 8-9, additional costs will apply. Please mail fees to --> Turlock United | 2713 Lester Road | Denair CA 95316

INTEREST: Kap7 Travel Trip? *

The Kap 7 Invitational in Orange County is a great end-of-season winter event on February 8-9, 2020. This is to see how many kids are interested. Additional fees will apply to cover entry, estimated at $150, not including travel & lodging.

INTEREST: Skills Clinic w/ US National Teamer? *

T-United is looking to invite a national team player to conduct a clinic on the January 11-12 weekend. Details TBA. This is to gauge interest in how many kids might be interested. Additional fees would apply.

TU Team Gear *

Please add this cost to your registration fees. Orders will be ready for Christmas. (If you select "Not ordering" please select that for the next two questions as well.) Team suits are ordered separately and directly online here: https://turlockfall.itemorder.com/sale

T-shirt size *

Only select a size if you are ordering the shirt. If not ordering, select "Not ordering" at the top of the dropdown menu.

Hoodie size *

Only select a size if you are ordering the hoodie. If not ordering, select "Not ordering" at the top of the dropdown menu.

Additional Gear

The forms above only allow you to order one of each item. If you'd like to order for the parents or siblings, please indicate below.

Email addresses to receive updates *

In addition to the address listed at the top of this form, please list any additional email addresses (player email, additional parent email, etc.) that should receive club communication for Winter Polo. *Please spell correctly* Be sure to separate all email addresses with a comma " , "

Primary phone number *

Additional phone numbers (optional)

* Separate each phone number with a comma

A copy of your responses will be emailed to the address you provided.

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