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Mavericks Registration

Welcome to the Mavericks Water Polo Club.

If you've made it this far, then you're must be ready to sign up. Please fill in the following form as completely as possible.

Before you begin, please familiarize yourself with the following policy documents:

1) PRIVACY - (PIPEDA)

2) CODE OF CONDUCT (As stipulated by Water Polo Canada)

3) STANDARDS OF BEHAVIOUR (As stipulated by Ontario Water Polo)

4) NOTICE OF WARNING

5) COACHES' CODE OF CONDUCT (Coaches only)

6) OFFICIALS' CODE OF CONDUCT (Referees & Officials only)

 

REGISTRATION FORM - Please complete all fields

Please indicate that you have read and understood all of the relevant policy documents that are linked to above this form. For players (or their parents) documents 1 through 4. For Coaches documents 1 through 5. For referees documents 1 through 4 and document 6. THANK YOU!

Policy Agreement: *
New or Returning Member?: *  New
Returning
Athlete 1 - LAST NAME: *
Athlete 1's FIRST NAME: *
Athlete 1 Date of Birth: *
Athlete 1 Membership Category - choose 1: *  Player
Coach
Volunteer
Referree
Athlete 1 - Secondary Categories - Check all that apply: *  Player
Coach
Volunteer
Referee
Athlete 1 Gender: *  Male
Female
Athlete 1's OHIP Number: *

If registering more than one player from the same address, please enter the additoinal player's name here.

Athlete 2's LAST NAME:
Athlete 2's FIRST NAME:
Athlete 2 Date of Birth:
Athlete 2's Membership Category:  Player
Coach
Volunteer
Referee
Athlete 2 Secondary Categories - Check all that apply:  Player
Coach
Volunteer
Referee
Athlete 2 Gender:  Male
Female
Athlete 2's OHIP Number:
Mother's Name: *
Father's Name: *
Home Phone Number: *
Emergency Phone Number (eg Cell): *
Primary Contact Email: *
Additional Email Addresses: 
Home Address: *
Home Address (Continued):

If you have any additional information you would like to supply, please enter it here. (Allergies, health conditions etc.) Critical information should also be shared in person with the players Coach and Team Manager.

Additional Information: 

 Thanks for taking the time to share this registration information. PLEASE NOW HIT THE SUBMIT BUTTON BELOW.

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