Dynamo Youth Water Polo Interest 2019
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Player First Name *
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Player Last Name *
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Player E-Mail Address *
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Player Phone # *
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Player Gender *
Player Birthdate (MM/DD/YYYY) *
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Parent First Name *
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Parent Last Name *
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Parent E-mail Address *
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Parent Phone # *
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Years water polo experience *
Handedness *
Water Polo Position *
100 yard Freestyle swim time *
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GHSWPA Team *
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