Tell us all About You!
This Contact Information form must be filled out before the Athlete can enter the pool for practice! Thank you for taking the time to fill it out ahead! Please fill out one form for each Athlete.
Email address *
Which side of the family are you joining? *
Parents First Name *
Your answer
Parents Last Name *
Your answer
Address *
Your answer
Phone number *
Your answer
Athletes Name *
Your answer
American Water Polo Membership #
Your answer
Athletes Age *
Your answer
Athletes Birthday *
Your answer
Athletes Gender *
Water Polo Experience *
Other Sports Played, and duration *
Your answer
Alternate Parent/Guardian (or Emergency Contact)
Your answer
Alternate P/G Phone Number (or Emergency Contact)
Your answer
Alternate Email
Your answer
Here to Play Level... *
How did you hear about OWPC? *
Anything Coach Should Know? - Please use this section to share anything about your athlete you think the we should know to help give them the best experience possible...
Your answer
Comments, Questions, anything :)
Your answer
A copy of your responses will be emailed to the address you provided.
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