Join

Full Name

Date of Birth

Email

Home:

Address

Phone

Mothers:

Name

Cell

Fathers:

Name

Cell

Summer Session 6/18-7/27

Dues $475

Club mailing address- P.O Box 1724, Carlsbad 92018

There is a $50 discount per additional sibling

Using PayPal, please add $10.00 to your dues

Need payment arrangements, please communicate with James

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 Water Polo- club number 1634)

PayPal Payment

Payment Description

Amount +$10 PayPal Service Charge

Will forward to PayPal