Summer Aquatics Program
WATER POLO APPLICATION
PLAYER NAME: ________________________________________________________
_____ male _____ female
_____ new player _____ returning player
grade __________
PLAYERS COMPLETE ADDRESS AND INFORMATION
STREET: ______________________________________________________________
CITY, STATE, ZIP: _____________________________________________________
PARENTS: ____________________________________________________________
HOME PHONE: _______________________________________________________
EMAIL: _______________________________________________________________
EMERGENCY CONTACT: ______________________________________________
EMERGENCY CONTACT PHONE: _______________________________________
T-SHIRT SIZE ( adult sizes only ) S - M - L - XL
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