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PVWPC New Member Information
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* Indicates required question
Athlete's Name
*
Your answer
Birth date
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Parent's Name
*
Your answer
Parent's Email
*
Your answer
Parent's Cell
*
Your answer
School (Fall 2021)
*
Your answer
Grade (Fall 2021)
*
Your answer
Water Polo Experience
*
None
< 1 year
1-2 years
> 2 years
Current or Past Water Polo Clubs
Your answer
Swim Team Experience
*
None
< 1 year
1-2 years
> 2 years
Current or Past Swim Clubs
Your answer
Comments or Questions
Your answer
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