WSO Water Polo Registration

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
• Only players 12 & Younger may register here. Go back to main Wildkit Polo page for 13 & Older players.
• If you have more than 3 players you must fill out 2 forms
• When you are finished entering information click on the Green Submit button.
• Cost is $100 per session. You must be a member of USA Water Polo.

Billing Information

First Name

Last Name

Address

City

State

Zip

Email

Phone

Player 1

First Name

Middle Initial

Last Name

Birthdate

Yr in School

5 6 7 8 9 10 11 12

Gender Male Female

Player 2

First Name

Middle Initial

Last Name

Birthdate

Yr in School

5 6 7 8 9 10 11 12

Gender Male Female

Player 3

First Name

Middle Initial

Last Name

Birthdate

Yr in School

5 6 7 8 9 10 11 12

Gender Male Female