SURREY ORCA'S WATER POLO CLUB
Registration: Summer 2017 (July/August)
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.