2021 Summer Intro Clinics Registration
This registration form is for the 2021 Summer Intro Clinic Program put on by Turlock High Water Polo.

Prior to completing this form, please register/renew with USA Water Polo to get your USWP number that is needed below. Bronze membership is all one needs for these clinics.


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Email *
Athlete First Name *
Athlete Last Name *
USA Water Polo Member # *
REQUIRED: Please register or renew with USWP to get your number BEFORE registering here.
Gender *
Water Polo Experience *
Please indicate if you are new or returning to playing water polo.
Athlete Date of Birth *
Please be careful to make sure your birth year is identified correctly.  (We often see birth years left accidentally as the current year.)
HH
/
BB
/
TTTT
2021 USWP Playing Age *
USWP Playing Age for 2021 is determined by your actual age on August 1, 2021.
2021-22 Grade *
Session 1: June 7, 8, 10 (M, Tu, Th) *
Please identify your interest for each of the five individual weekly session below.
Session 2: June 14, 15, 17 (M, Tu, Th) *
Session 3: June 21, 22, 24 (M, Tu, Th) *
Session 4: June 28, 29, July 1 (M, Tu, Th) *
Session 5: July 6, 7, 8 (Tu, W, Th) *
NOTE: Due to 4th of July holiday weekend, there is no Monday 5th practice. Wednesday was added in place of Wednesday.
*Additional* email addresses
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 Summer 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
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