Spring 2023 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.

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, Spring 2023 Session.  The cost is $125.00 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 Pamela Hege at 3437 Lavista Rd, Decatur, GA 30033.  You may also pay via Paypal at Vikingwaterpolo@gmail.com or use this link:  https://www.paypal.com/paypalme/vikingwaterpolo?locale.x=en_US.  

Please contact Pam Hege (plhege@gmail.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.

PRACTICES: Our practices are at Dynamo Swim Club (3119 Shallowford Road, Chamblee) and take place Monday and Wednesday from 8:20 - 9:50PM.  Practices will start on Wednesday February 22nd (02/22/2023) and the last practice will be April 26th (04/26/2023). All scheduling changes and important updates will be communicated via our communication system. (See below)

COMMUNICATIONS:  Viking Water Polo uses a Google Group to send team email communications but this year we will also leverage Remind that will provide updates via email and text as well as their mobile app.  You can use this link to sign up for Remind:  https://www.remind.com/join/vwpolo404 or we will use the contact information entered during registration to ensure all players and parents are added to the communication system.    
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.


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Player First Name *
Player Last Name *
Player Birthdate *
Player Email *
Player Mobile Number (For Remind) *
Player School *
Player Grade *
AWP Number *
Must be a Member of American Water Polo for Insurance Purposes (https://americanwaterpolo.org/join-now/)
Player Guardian/Releasee Name *
Emergency Contact Name *
Emergency Contact Number *
Parent/Guardian Primary Email Address *
Parent/Guardian Secondary Email Address
Is the player new or returning *
Are you on our mailing list? *
I understand that my AWP number must be current and I will sign and turn in the Viking Water Polo physical form. *
Viking Polo Team Waiver *
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 *
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
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