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Vine Water Polo Clinic with Chancellor Ramirez March 5th 2022
March Clinic Sign Up
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* Indicates required question
Email
*
Your email
Player's First Name
*
Your answer
Player's Last Name
*
Your answer
Player's Age
*
Your answer
What position do you play ?
*
Field player
Goalie
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
Parent's Phone Number
*
Your answer
USA Water Polo Number
*
Your answer
Affiliated club name if any
*
Your answer
Cost $125 Saturday March 5th- How Will You Submit Payment?
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*Registration is not complete until we receive your payment.Thank you for signing the Google Doc. To complete your registration you must go back to
www.vinewaterpolo.com
and make your payment. If you have any question feel free to email me.
Venmo
Credit Card
Cash/ Check
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