Registration

Online Store and Registration

Visit the Foothill Water Polo Online Store at http://shop.foothillwaterpolo.com/

If you are not already a USA Water Polo member, please register for a membership at the USA Water Polo Website. Athletes should sign up for the “Gold” membership.

Registration Process

Step One: Fill out and submit online registration form (see below).
Step Two: Proceed to store and select appropriate age level and pay via credit card.
Step Three: Print out receipt and bring first night of practice.

You may pay on the pool deck by check only on the first night of practice if you chose however; payment
will need to be made prior to athlete entering water unless it is a first time athlete with a one week trial.

If you need special payment arrangements you will need to email gentry@foothillwaterpolo.com in
advance with your request.

SESSION FEE INCLUDES COACHING, PRACTICES & POOL TIME ONLY
-Additional fees for tournaments & leagues will apply-

Foothill Club Water Polo Registration

*-required fields

Session*: Level*:
Athlete's Full Name*:
Athlete's Gender*:
Address:
City (CA):
Zip:
Home Phone* (000)000-0000:
Athlete's Cell (000)000-0000:
Mother's Name:
Mother's Cell (000)000-0000:
Father's Name:
Father's Cell (000)000-0000:
Athlete's Email*:
Parent's Email*:
Birthday* (Month/Day/Year):
Age on December 31, 2010*:
School:
Grade* (2010-2011 school year):
Insurance Release
To Whom It May Concern:
My child is a member of Foothill Club Water Polo and in the event of an injury or illness, I * as legal guardian, hereby grant my permission for * to be treated by a qualified and licensed physician in the event that immediate treatment is necessary. Permission for treatment is only authorized in the event that I am unable to be reached following a reasonable effort to do so. This permission is granted for the period of time beginning 8/30/2010 through 11/14/2010.
 *I have read and agree to the release above. Sign*:
Date*:
USWP Registration:
USWP-Current Member ID:
Expires:

The Foothill Club Registration Form can be downloaded here.

(to download file, right click on link above and “save link as”.)