Stanford Water Polo Club
2010 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, new and returning, to submit a hard copy of their 2010 USWP membership as part of their registration materials. All athletes, new and returning, must be registered USA Water Polo members for the 2010 year, before registering for the Summer 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
Junior Polo
$325 (postmarked by 5/26)
$345 (5/26)
Age Group I & II
$620 (postmarked by 5/18)
$650 (5/18)
High School I & II
$620 (postmarked by 5/18)
$650 (5/18)

Note: Any registration paperwork and/or payments postmarked after May 18th (postmarked after May 26th for Jr. Polo) will not be eligible for the Early Registration cost.

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* (May 24 - June 6 for High School and AgeGroups; June 1 - 14 for Jr. Polo): If you are new to the club and interested in the 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. (Please make a separate check payable to SWPF.) Thank you. $

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)*:
Important: When done filling the form, click "Submit Registration" button below and follow the directions on the resulting page.