Stanford Water Polo Club
2008 Summer Session
Registration Information

Registration is only available online. After completing this page, click on the Submit button and an Acrobat file containing signature pages will come up. Please print out the signature pages and follow the instructions on the top page carefully.

USWP Membership:We require all athletes to submit a hard copy of their USWP membership with the registration materials. All athletes, new and returning, must be registered USA Water Polo members through the end of the session (July 29th). A seasonal athlete membership is available for $40. USWP information is available online by logging onto www.usawaterpolo.com or calling USWP at (714) 500-5449. You can print out a copy of your membership by going online. All athletes must be affiliated with Stanford Water Polo Foundation which is Club #570 and in the Pacific Zone (#6)as per new USWP rule 6.2(a)ii.

Payment: Payment is due at the time of registration. If we do not receive your full payment, signature pages, and a copy of your USWP membership within five days of your online registration, the registration will be voided. Returned check fee is $25.00.

Late Fee: Any registration paperwork and/or payments postmarked after May 8th (May 28th for Micros) will incur a $30 late fee.

Refund Policy: $100 of the registration fee is non-refundable. The balance is refundable at a pro-rate during the first three weeks of the program.

Trial Membership: If you are new to the club and interested in a two-week trial, payment and all registration materials must be completed in order to participate (including USWP membership). Your check will not be cashed unless you decide to continue with the program. Please make a note on your waiver that you would like to participate in the two-week trial.

Required fields are indicated by *.

Athlete Information

First Name*:    Last Name*:
Street Address*: City*: Zip*:
E-Mail Address*: Home Phone*:
Date of Birth*: Athlete Cell Phone:
USWP #*: Expiration*
School*: Grade in Fall*:
Returning member of SWPC If so, when:
What level of water polo have you previously played:
Hand: Left    Right T-Shirt Size*:

Roster Information
E-Mail Address: Phone:
City you reside in (for carpool purposes):
We consent to distribute the above information to team members in the form of a roster.
Do not include us in the roster.

Parent/Guardian Information

Father/Guardian Name*:    Contact Phone 1:
E-Mail Address: Contact Phone 2:
 
Mother/Guardian Name*: Contact Phone 1:
E-Mail Address: Contact Phone 2:
The SWPF Athletic Scholarship Fund provides financial assistance to club athletes in need. If you would like to make a donation, please indicate amount here. Donations are tax-deductible. (Pleae make a separate check payable to SWPF.) $

Medical/Emergency Information

Emergency Contact (other than immediate family)*:
Contact Phone 1*:
Contact Phone 2:
Name of Health Insurance Company*:
Health Insurance Policy Number*:
Please list any health problems the coaching staff should be aware of (type "None" if no problems)*:

Competition Availability

Please indicate below whether you are available for this season's events.Please let us know your availability for your age only.

18&U (born in 1990 or 1991)
Yes No Date Event
June 20 - 22 J.O. Qualifying Tournament (NorCal)
June 27 - 29 U.S. Club Championships (NorCal)
July 11 - 13 Men's 20&U Nat'l Championships (NorCal)
July 19 - 20 680 Drivers Tournament (NorCal)
July 26 - 29 J.O. Tournament (SoCal)
16&U (born in 1992 or 1993)
Yes No Date Event
June 13 - 15 J.O. Qualifying Tournament (NorCal)
June 27 - 29 U.S. Club Champs (NorCal)
July 11 - 13 San Diego Shores Tournament (SoCal)
July 19 - 20 680 Drivers Tournament (NorCal)
July 26 - 29 J.O. Tournament (SoCal)
14&U (born in 1994 or 1995):
Yes No Date Event
May 30 - June 1 Santa Barbara Tournament (in S.B.)
June 20 - 22 J.O. Qualifying Tournament (NorCal)
June 27 - 29 U.S. Club Champs (NorCal)
July 19 - 20 680 Drivers Tournament (NorCal)
July 26 - 29 J.O. Tournament (SoCal)
12&U (born in 1996, 1997, or 1998)
Yes No Date Event
May 30 - June 1 Santa Barbara Tournament (in S.B.)
June 20 - 22 J.O. Qualifying Tournament (NorCal)
July 19 - 20 680 Drivers Tournament (NorCal)
July 26 - 29 J.O. Tournament (SoCal)
Important: When done filling the form, click "Submit Registration" button below and follow the directions on the resulting page.