2024 Rhinos Kayak Polo Registration

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This form is to sign up for the 2024 Rhinos kayak polo season at San Leandro High School Pool on Saturdays. Here are the dates:

Feb 24 through March 30 (6 sessions), 10:00-11:30am returning students and 11:30-1:00pm beginner youth.
Kayaking gear provided, just bring a wetsuit (recommended) or swimsuit, plus towel and change of clothes.

Students who also want to participate in our annual Cup of the West tournament can sign up here. The tournament will be the weekend of April 20th and 21st at Shoreline Lake in Mountain View (tentative location).

Cost:

Pool season (6 sessions): $90

Youth division team for Cup of the West $40

Scholarships: Bancroft Middle School students can apply for up to $500 in scholarships! You can use $130 now, and have the rest as credit for later events. See Ms. Garcia in the front office for an application.

Please submit this form along with your fee (paypal to bayareakayakpolo@gmail.com or check to "Bay Area Kayak Polo"). Your spot in the class will be reserved once we receive your payment or your scholarship has been processed. Thank you!

Thank you and see you on the water!

Email *

Participant Name *

Parent Name

Cell Phone # *

Fees: Please select which option you want to sign up for *

$90 for RETURNING YOUTH (10:00-11:30am)

$90 for BEGINNER YOUTH (11:30am-1:00pm)

$40 for YOUTH DIVISION CUP OF THE WEST TEAM (April 8-9 in Mountain View)

Other:

Required

Which payment method do you prefer? *

I will send Paypal to bayareakayakpolo@gmail.com

I will bring cash/check to first session

I am a Bancroft student and will to apply for the scholarship with Ms. Garcia

I am a high school student and would like to request a scholarship/discount from Bay Area Kayak Polo Club

I am a Middle or High School Teacher (free pool season!)

PARENT VOLUNTEERS: Please let us know how you can help our team. It takes a lot of work to keep our organization running.

I can help with insurance waivers and collecting class fees

I can help setup the goals, take out lane lines, help gather gear after practices, etc.

I can bring snacks for after practice

I can help with driving the trailer to and from practices

I can help transport gear rack (paddles, life jackets) to and from practices

I can help organize parents (send messages, collect payments, plan fundraising and future events)

I can help with Cup of the West (registration table, score board, etc.)

Other:

Previous kayak, watersports or athletic experience *

Any medical conditions (allergies, medications, previous injuries, etc.)? *

Permission for Bay Area Kayak Polo to use photos/video of participant for outreach? *

Yes

Parent/guardian (for youth only): By typing parent name below, parent gives consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent. (please type FULL parent/guardian name) *

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

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