Cockburn Water Polo Club - 2018 Summer Season Registration
Email address
Name and surname of player(s) registering
Your answer
Parent/guardian (if applicable)
Your answer
Player(s) date(s) of birth
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Address
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Two best contacts (mobile, email, parent phone/email...)
Your answer
Who can we contact in case of emergency? Relationship to the player(s)?
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Medical condition(s) we would need to know about?
Your answer
Can we take a photo of you?
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