Fall 2021 Viking Water Polo Registration
Water Polo is an exciting, fast-paced, physically-rewarding sport that is growing in popularity and is renowned for building a community of lasting friendships and team bonds. Our program is a great way for existing players and newcomers alike to build strength and endurance, improve their water polo skills, and develop teammate relationships.

Head Coach Andy Neff will lead the teams this season.

For additional details, please visit www.vikingwaterpolo.com (which also provides key team information throughout the season).

The REGISTRATION FORM below is for the Viking Water Polo Club, Fall 2021 Session. Fall season games will begin the weekend of August 7th - 8th and will end on the first weekend in October. Full schedule TBD. The cost is $250.00 when paid by check or Paypal. NOTE: Checks should be made out to Viking Water Polo (with the Swimmer's name listed on the memo line) and mailed to Jane Deaver at 1875 Castleway Lane, Atlanta, GA 30345. You may pay via Paypal at Vikingswaterpolo@gmail.com or use this link: https://www.paypal.com/paypalme/vikingwaterpolo?locale.x=en_US.

Please contact Jane Deaver (jane_deaver@hotmail.com) or William Higgins (william@augusthiggins.com) with any questions about registration.

Please note that the registration fee includes: pool rental fees, coaches’ fees, scrimmage pool fees, referee fees. Practices will be held at the Dynamo Swim Club (50-meter pool) located at 3119 Shallowford Rd NE, Chamblee, GA 30341.

If you have not registered with the American Water Polo organization (AWP), you must do so BEFORE completing the Registration Form below (in order that the player can be assigned an AWP number). To register with AWP, please go to https://americanwaterpolo.org/join-now/ and click Join Now. The American Water Polo membership is further required by the Georgia High School Athletic Association to allow students to compete in Georgia Water Polo events. The AWP Membership also covers the player's athletic liability and insurance coverage for practice and games.

There are two waivers that must be signed for participation. The first is the Viking waiver, which is included with the registration form. The second is the COVID Dynamo waiver. If you completed the COVID Dynamo form this past spring you do not need to do it again.

PRACTICES: Our fall season practices are at Dynamo Swim Club (3119 Shallowford Road, Chamblee) and take place Mondays and Wednesdays. Practices will start on Monday, July 26th at 7:30PM and the official season runs Aug 2nd - Oct 3rd As always, be sure to regularly check our website at www.vikingwaterpolo.com for additional details or to find scheduling changes or updates.

PLAYERS’ SUITS: Players do not need a specific suit to participate but Viking Water Polo suits can be purchased through our online store. The ordering deadline is 7/30. The suits should arrive the first week of the season in time for the second weekend of games. Link to order: https://vikingswp2021.itemorder.com/

CONTACT: If you have any registration questions or want to be added to our google list-serve, please contact William Higgins at: william@augusthiggins.com.

GO VIKINGS!

Swimmers First Name *
Swimmer Last Name *
Swimmer Birthdate *
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DD
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Swimmer email *
Swimmer School *
Swimmer Grade *
AWP Number *
Must be a Member of American Water Polo for Insurance Purposes (https://americanwaterpolo.org/join-now/)
Swimmer Guardian/Releasee Name *
Emergency Contact Name *
Emergency Contact Number *
Parent/Guardian Primary Email Address *
Parent/Guardian Secondary Email Address
I understand that my AWP number must be current and I will sign and turn in the Viking Water Polo physical form. *
Required
Viking Polo Team Waiver *
Required
Dynamo Club Facilities Waiver
For and in consideration of the benefits to me from the use by me and/or my child(ren) of the facilities of Dynamo Parents Club, Inc. (Dynamo Swim Center) and other good and valuable consideration, the undersigned, individually and for his/her heirs and personal representatives, hereby release Dynamo Parents Club, Inc. directors, officers, agents, swim team members, and employees from any and all claims of any kind of nature whatsoever, arising out of the use by me and/or my child(ren) of said facilities. The undersigned, individually and for his/her heirs and personal representatives, further agree to indemnify, defend and forever hold harmless Dynamo Parents Club, Inc. and their directors, officers, agents, swim team members and employees from any and all liability and loss whatsoever, (including and cost of defending claims) arising out of said use of said facilities.
I have read the above Waiver *
Required
Modesty and Swim Suit Rules *
Each team must agree to the swim suit guidelines and understand that if they are not followed, the swimmer and/or team can be penalized
Required
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