Spring 2020 Rhinos Kayak Polo Application
Tuesday pool sessions April 14 - June 23 (11 weeks), 7:30-9:00pm
San Leandro High School Pool
All ages, Bring your own boat if you have a whitewater boat (no sea kayaks please)
Or gear provided on a limited basis.

Sunday Practices April 19 - June 28 (11 weeks), 1:00 - 3:00pm
Berkeley Marina (M dock)
*note: for Sunday practices, paddlers will be responsible for bringing their helmet, paddle. lifejacket and skirt to each Tuesday and Sunday practice. Mr.H or a parent will bring the trailer with boats.

Please submit this form along with your fee (paypal to bayareakayakpolo@gmail.com or check to "Bay Area Kayak Polo"). For scholarships, fill out the application here:

**please note that to be covered by our insurance you must sign up for a membership to the ACA (American Canoe Association). It's $25/year for a membership. Sign up here: https://www.americancanoe.org/

Thank you and see you on the water!
Email address *
Participant Name *
Parent Name
Cell Phone # (we'll be using a WhatsApp group for Sunday sessions) *
Which days do you want to sign up for?
Fees: Please select which option best suits your needs and send via paypal to bayareakayakpolo@gmail.com, or bring cash/check to first session *
VOLUNTEERS NEEDED! Please let us know how you can help our team. It takes a lot of work to keep out organization running.
Previous kayak, watersports or athletic experience *
Any medical conditions (allergies, medications, previous injuries, etc.)? *
Permission for Bay Area Kayak Polo to use photos/video of participant for outreach? *
Parent/guardian (for youth only): By typing parent name below, parent gives consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent. (please type FULL parent/guardian name)
A copy of your responses will be emailed to the address you provided.
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