Waterboard Warriors - 2025 Membership Registration

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Welcome to the 2025 season!

Please complete a separate WBW 2025 Membership form for each family member and submit before your first attended practice.

In addition to completing this form, a minimum of $25 will be due before you can participate in any indoor / land practice. Full WBW membership dues are required to be paid before team water practice starts. Club dues/membership runs from 1/1/25 - 12/31/25.

Contact Michelle Vosters if you have any questions - wbwsecretary@gmail.com

Last Name *

First Name *

Address - Include Street / City / ZIP *

Phone Number (xxx-xxx-xxxx) *

Email (enter parent email if child does not have one) *

Birthdate (mm/dd/yyyy) *

YYYY

T-Shirt Size (State t-shirt included with paid membership) *

XXL

Youth S

Youth M

Youth L

Youth XL

Required

Emergency Contact - Name & phone. Please also list any medical conditions or allergies *

Emergency Medical Authorization - If I am unable to do so myself, or if my parent/guardian is unavailable, I agree to allow a Waterboard Warriors club member over the age of 18 to authorize appropriate medical treatment. *

Yes - I consent and am over the age of 18

Yes - I consent as a parent/guardian of a member under the age of 18

No - I decline having a Club member making a medical decision for me

No - I decline as a parent/guardian of a member under the age of 18 and do not wish to have medical decisions made without my knowledge

Required

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