Wildkit Aquatics

Enter all billing information for the parent/guardian who will be making the payment.
Enter players First Name, Middle Initial, Last Name and Birthdate
If you have more than one player you must fill out additional forms
When you are finished entering information click on the Green Submit button.
Cost is $1032. You must be a member of USA Water Polo.

First Name

Last Name

Address

City

State

Zip

Phone

First Name

Middle Initial

Last Name

Birthdate

Yr in School

Gender Male Female