Join

Full Name

Date of Birth

Email

Home:

Address

Phone

Mothers:

Name

Cell

Fathers:

Name

Cell

Summer Session 2012

May 27th - Aug 5th

Session Dues $500.00

Games/tournaments not included

Club mailing address- P.O Box 539, Carlsbad 92018

1. There is a $20 discount per additional sibling

Need payment arrangements, please communicate with Greg Horman

New Players must submit a new club registration form - Click here

New Players must join US Water Polo - Click here

All players must have a current US Water Polo membership prior to participation. (Carlsbad Girls Water Polo- club number 18041)