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WSO Water Polo Trip Payment
Instructions
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 $1200. You must be a member of USA Water Polo.
Billing Information
Amount $
First Name
Last Name
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Email
Phone
Player
First Name
Middle Initial
Last Name
Birthdate
Yr in School
5
6
7
8
9
10
11
12
Gender
Male
Female