SURREY ORCA'S WATER POLO CLUB
Registration: Summer 2017 (July 4 - August 10)
Note, our registrar will contact you regarding payment AFTER you have submitted your registration. Fees and Practice Schedules for our Summer Programs can be found on our website (www.surreyorcas.com)
  • ATHLETE INFORMATION:

  • Enter an email address ONLY IF DIFFERENT than primary or secondary parent address – this email address belongs to the athlete.
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  • No spaces between the numbers please!
  • SUMMER WATER POLO PROGRAM: JULY (AUGUST)

  • 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.
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    Please ensure this is a valid phone number.
  • Enter Secondary parent email only if DIFFERENT than primary parent email.
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  • BCWP insurance fee is required if not already insured for the 2016/17 season (contact the registrar for details if you are not certain).
  • BCSSA insurance fee of $35 required for all participants. Athletes’ BCSSA registrant number only is required if BCSSA insurance purchased through their home swim club.
  • 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 may 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.