Spring 2022 Rhinos Kayak Polo Application

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Saturdays March 5, 12, 26, April 23, 30, May 7 and 14 (7 sessions), 3:00-5:00pm
San Leandro High School Pool
Ages 12-18, kayaking gear provided, just bring a wetsuit or lycra/swimsuit

Cost: $150

Please submit this form along with your fee (paypal to bayareakayakpolo@gmail.com or check to "Bay Area Kayak Polo"). For scholarships, see Mr. H at Bancroft or email phargreaves@slusd.us for the scholarship application

Thank you and see you on the water!

Email *

Participant Name *

Parent Name *

Cell Phone # *

Fees: Please select which option best suits your needs and send via paypal to bayareakayakpolo@gmail.com, or bring cash/check to first session *

I will pay the $150 with PayPal or check to first session

I will get a scholarship application (funded through SLED)

Other:

PARENT VOLUNTEERS: Please let us know how you can help our team. It takes a lot of work to keep out organization running.

I can help with driving the trailer to and from practices

I can help with insurance waivers and collecting class fees

I can bring snacks for after practice

I can help setup the goals, take out lane lines, help gather gear after practices, etc.

I can help with planning future events

I can help with publicity, outreach, taking photos/videos, social media, etc.

Other:

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? *

Yes

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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