2019-2020 Junior Water Polo Wait List New Members
Please complete this form if you would like to be put on the wait list for Friday Flippaball for Term 4 2019 and Term 1 2020. Please fill out one form per child.
Email address *
Select a Competition *
If Other, please specify SCHOOL YEAR (eg. Year 4, Year 5 etc)
Your answer
Child First Name *
Your answer
Child's Surname *
Your answer
Gender *
Child's Date of Birth *
MM
/
DD
/
YYYY
Current MWPC Flippa / Junior Player: *
Required
Parent's Name *
Your answer
Parent's Email *
Your answer
Parent's Mobile *
Your answer
Team (if relevant)
Your answer
Submit
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