SURREY ORCA'S WATER POLO CLUB
Registration 2017/18 Recreational and Competitive
Note, our registrar will contact you regarding payment AFTER you have submitted your registration. Fees and Practice Schedules for our Sept 2017 - April 2018 Program can be found on our website (www.surreyorcas.com)
  • ATHLETE INFORMATION:

  • ATHLETE'S EMAIL ADDRESS ONLY
  • / /
  • No spaces between the numbers please!
  • A: RECREATIONAL WATER POLO PROGRAM:

  • B: COMPETITIVE BCPL/NCL WATER POLO PROGRAM:

  • PRIMARY AND SECONDARY PARENT/GUARDIAN INFORMATION:

    Please enter the Primary Parent/Guardian contact information:
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    Please ensure this is a valid phone number.
  • - -
    Please ensure this is a valid phone number.
  • ONLY IF DIFFERENT than primary parent email.
  • - -
    Please ensure this is a valid phone number.
  • - -
    Please ensure this is a valid phone number.
  • BC Water Polo (BCWP) Insurance Fees:
    Splashball: $70
    Flippers: $70
    Recreational 12U, 14U, 16U, 18U: $70
    Competitive 16U, 19U NCL : $110 - includes recreational league participation

  • Agreement to Play
    I apply to play water polo with the Surrey Orcas Water Polo Club. I understand that the player is responsible for observing the rules of the club at all times. I agree to participate at my own risk. I agree to travel to games at my own risk. I understand that a mouth guard is recommended for all games.
  • I give permission for the use of any photographs and/or videos take for media coverage or promotions and that my full name will not be used. I give permission for my name and contact information to be shared with the Team Manager for communications purposes.
Surrey Orca's Water Polo Club | Located in the Guildford Aquatics Centre, Surrey, B.C.