2019 - 2020 Back Bay Water Polo Registration
Registration for participation in the Back Bay Aquatics Foundation water polo program.
Your registration is for seasonal participation, unless paying for a full year which is indicated below.  After your initial registration, you will be automatically invoiced every season for ongoing participation.  The season will run in accordance to the dates posted on our website.  Please visit www.backbaywaterpolo.com for seasonal information.
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Email *
Are you a new or returning member *
Required
Participant's First Name *
Participant's Last Name *
USA Water Polo #
Participants age group *
Participant's Birthday *
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/
DD
/
YYYY
Participant's Grade *
Guardian's Full Name *
Guardian's Home Street Address *
Guardian's Home City, State, Zip *
Guardian's Phone Number *
Guardian's Email
If there is a secondary guardians name who you also want to receive email information, please include below.  (Optional)
Secondary Guardians Full Name (Optional)
Secondary Guardian's Phone Number (Optional)
Secondary Guardian's Email (Optional)
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