ROAR Aquatics Registration Form
SUMMER Session 2019
ROAR Aquatics provides a positive atmosphere in which athletes can learn and develop water polo and swimming skills and still compete with their respective high school teams. ROAR Aquatics provides a club, a harbor, for the majority of athletes who want to have the best aquatics experience possible.
Summer Session- June 10, 2019 - July 19, 2019 Rising and Current High School Athletes- Mondays and Wednesdays- 6:00 PM - 7:30 PM! - NIGHTS TO ROAR - June 27, July 11 and July 19!
Practices will be held at Notre Dame High School Belmont. In order to participate athletes must be registered with US Water Polo under: ROAR Aquatics (Club ID: 30162) - Gold or Silver membership is required - https://webpoint.usawaterpolo.com/wp/memberships/join.wp
Cost - $350 (NEW- 10% Discount offered to siblings! i.e. 1st child $350, 2nd child $315), includes tournament fees (if any), professional coaching, swim cap and t-shirt. Cash, Check (payable to Mike Marques) or PayPal accepted. No Refunds.
Contact: Mike Marques <roaraquatics@gmail.com> or 650.591.8026 Mailing address: 1908 Howard Avenue, San Carlos, CA 94070
Athlete Name *
Your answer
Age *
Your answer
Class of *
Current High School *
Your answer
Tee Shirt Size *
Home Address *
Your answer
Athlete Email *
Your answer
Parent (Family) Email *
Your answer
Parent Phone (Best number to reach you) *
Your answer
Registered with US Water Polo? *
Emergency Contact *
Your answer
Emergency Contact Phone *
Your answer
I hereby consent for the student named above to participate in ROAR Aquatics.ROAR Aquatics is not affiliated with Notre Dame High School Belmont. I further consent to treatment deemed necessary by physicians designated by program authorities for illness or injury resulting from his/her participation. I carry Primary Insurance to cover my athlete in case of injury. *
Primary Insurance Company *
Your answer
Insurance Group Number *
Your answer
Date *
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