Stanford Water Polo Club
2012 Boys Spring 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, new and returning, to submit a hard copy of their 2012 USWP membership as part of their registration materials. All athletes, new and returning, must be registered USA Water Polo athletes (either Silver or Gold level) for the 2012 year, before registering for the 2012 Boys Spring Session. USWP information is available online at www.usawaterpolo.org 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 in the Pacific Zone (#6) as per 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.

Group
Early Registration Cost
Registration Cost after date below
Jr. Polo
$280 (postmarked by 2/22)
$295 (2/22)
Age Groups 1 & 2
$445 (postmarked by 2/22)
$460 (2/22)
High School 1 & 2
$315 (postmarked by 2/22)
$330 (2/22)

Note: Any registration paperwork and/or payments postmarked after February 22nd will not be eligible for the Early Registration cost.

Equipment Fee: $25 per athlete. The Equipment Fee is payable to SWPF and will go toward providing and maintaining quality equipment our athletes use each session. (i.e. balls, caps, goal cages, shot and game clocks.)

Refund Policy: The $25 Equipment Fee and $100 of the Registration Fee are non-refundable. The balance is refundable at a pro-rate during the first three weeks of the program.

Club Trial Membership* (Feb. 27 - Mar. 11): If you are new to the club and interested in the Two-Week Club 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*:
Returning member of SWPC If so, when:
What level of water polo have you previously played:
Hand: Left    Right

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. (Please make a separate check payable to SWPF.) Thank you. $

Medical/Emergency Information

Emergency Contact (if immediate family cannot be reached)*:
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)*:
Important: When done filling the form, click "Submit Registration" button below and follow the directions on the resulting page.