2021 Fall Polo Registration
This registration form is for the 2021 Fall Program put on by Turlock High Water Polo.

​Mondays & Wednesdays
6 - 7:30PM, Turlock High Pool
First day: Wed 9/8 | Last day: Wed 10/27
2021 USA Water Polo membership required
Cost:


Prior to completing this form, make sure you are already registered or renewed with USA Water Polo to get your USWP number that is needed below. Bronze membership is all one needs for Fall.

NOTE: If you played during the Summer 2021 program, your USWP membership is still valid for the Fall Program.
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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.)
MM
/
DD
/
YYYY
2021-22 Grade *
*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 *
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