Summer Water Polo Registration 2024 "*" indicates required fields Parent's/Guardian's InformationParent/Legal Guardian's Name* First Last Phone*Parent/Legal Guardian's Email Emergency Contact* First Last Phone*How many water polo players are you signing up? One Two Three Innis Arden Swim Club Member* Yes, I am an IASC member No, I am not an IASC member Child #1 InformationChild #1 Full Name* First Last Child #1 Age on June 15th*Child #1 Birthdate* MM slash DD slash YYYY Preferred team* 8 and under mixed 10 and under mixed 12 and under girls 12 and under mixed 14 and under girls 14 and under mixed 18 and under girls 18 and under mixed Please select the most appropriate age group and team for your child.Water Polo Participation FormSpecial Medical Conditions*I hereby consent to participation by my child in the Seattle Summer Water Polo League. I understand that this activity involves elements of risk of bodily injury, including, but not limited to, activities occurring in a pool and the surrounding environment. We will assume all risks associated with and incidental to participating in the sport of water polo. My child has no special medical conditions, except those described below, and is fit to participate on a water polo team. Check here to agree to this sectionSpecial Medical ConditionsEmergency Medical Care*In consideration of the right and privilege for my child to participate, we hereby release, waive, and agree to hold harmless the Seattle Summer Water Polo League; this club, its members, directors, employees, coaches and volunteers; the club hosting the event, its members, directors, employees, coaches and volunteers; all paid and volunteer referees for any and all liability, claims, legal actions, and demands of any nature whatsoever which may arise from or in connection with the water polo team or related activities. I understand that events may take place away from our club pool. I understand that the coaches are not responsible for transportation to games or related activities. I hereby authorize emergency medical/dental care and treatment for my child, as necessary. Check the box to consent to Emergency Medical CareSeattle Water Polo Code of Conduct*Seattle Summer Water Polo League Code of Conduct To insure that all games are safe, family-friendly, and conducted in such a way that all participants and spectators enjoy the experience, the Seattle Summer Water Polo League has the following code of conduct. Please read it carefully. Both a parent signature and player signature is needed. This must be done prior to competing in the first game of the season. As a member of the Seattle Summer Water Polo League, I agree to: Consistently display respect, honesty, and sportsmanship toward coaches, teammates, officials, volunteers, parents and competitors. Consistently display a positive and supportive attitude toward all teams, coaches, teammates and competitors. Refrain from the display or use of aggressive behavior and offensive language, including any derogatory reference to any person’s race, sex, ethnicity, or other characteristics. All infractions that result in expulsion from a game must be reported to the SSWPL board within three (3) days. Any infraction of this code may result in, but is not limited to, the following actions by the Board: Restriction from future competition for a designated period of time. Placement on probation for a designated period of time. Restriction from participation in championship competition. In order to provide clarity to participants, coaches, parents and referees, the offenses below will result in a kick-out (the third kick-out results in removal from the game). The referee may also choose, depending on the offense, to remove the player from the game. The use of profanity towards anyone, even oneself. Addressing the referee, except during timeouts and between periods. The only exception would be to simply get clarification on the directions of the referee. Addressing the other team’s coach or other team’s bench at any time. All rules governing behavior, violence, striking, kicking, etc. included in the USWP rules will be strictly enforced. Removal for these offenses is a violation of the code of conduct and will be referred to the Board. Note to parents: While there have been very few problems with spectators contributing to a negative atmosphere, it does occasionally happen. The referee has the authority under the rules to have spectators removed from the premises. Let’s all work together to make sure that there is no need to have this happen. I agree to the water polo code of conductPlayers Signature* First Last Parent/Legal Guardian's Signature* First Last Child #2 InformationIf you do not wish to sign up a second child just leave answers blank and move onto the next page.Child #2 Full Name* First Last Child #2 Age on June 15th*Child #2 Birthdate* MM slash DD slash YYYY Child #2 Preferred team* 8 and under mixed 10 and under mixed 12 and under girls 12 and under mixed 14 and under girls 14 and under mixed 18 and under girls 18 and under mixed Please select the most appropriate age group and team for your child.Water Polo Participation FormSpecial Medical Conditions*I hereby consent to participation by my child in the Seattle Summer Water Polo League. I understand that this activity involves elements of risk of bodily injury, including, but not limited to, activities occurring in a pool and the surrounding environment. We will assume all risks associated with and incidental to participating in the sport of water polo. My child has no special medical conditions, except those described below, and is fit to participate on a water polo team. Check here to agree to this sectionSpecial Medical ConditionsEmergency Medical Care*In consideration of the right and privilege for my child to participate, we hereby release, waive, and agree to hold harmless the Seattle Summer Water Polo League; this club, its members, directors, employees, coaches and volunteers; the club hosting the event, its members, directors, employees, coaches and volunteers; all paid and volunteer referees for any and all liability, claims, legal actions, and demands of any nature whatsoever which may arise from or in connection with the water polo team or related activities. I understand that events may take place away from our club pool. I understand that the coaches are not responsible for transportation to games or related activities. I hereby authorize emergency medical/dental care and treatment for my child, as necessary. Check the box to consent to Emergency Medical CareWaterpolo Code of Conduct*Seattle Summer Water Polo League Code of Conduct To insure that all games are safe, family-friendly, and conducted in such a way that all participants and spectators enjoy the experience, the Seattle Summer Water Polo League has the following code of conduct. Please read it carefully. Both a parent signature and player signature is needed. This must be done prior to competing in the first game of the season. As a member of the Seattle Summer Water Polo League, I agree to: Consistently display respect, honesty, and sportsmanship toward coaches, teammates, officials, volunteers, parents and competitors. Consistently display a positive and supportive attitude toward all teams, coaches, teammates and competitors. Refrain from the display or use of aggressive behavior and offensive language, including any derogatory reference to any person’s race, sex, ethnicity, or other characteristics. All infractions that result in expulsion from a game must be reported to the SSWPL board within three (3) days. Any infraction of this code may result in, but is not limited to, the following actions by the Board: Restriction from future competition for a designated period of time. Placement on probation for a designated period of time. Restriction from participation in championship competition. In order to provide clarity to participants, coaches, parents and referees, the offenses below will result in a kick-out (the third kick-out results in removal from the game). The referee may also choose, depending on the offense, to remove the player from the game. The use of profanity towards anyone, even oneself. Addressing the referee, except during timeouts and between periods. The only exception would be to simply get clarification on the directions of the referee. Addressing the other team’s coach or other team’s bench at any time. All rules governing behavior, violence, striking, kicking, etc. included in the USWP rules will be strictly enforced. Removal for these offenses is a violation of the code of conduct and will be referred to the Board. Note to parents: While there have been very few problems with spectators contributing to a negative atmosphere, it does occasionally happen. The referee has the authority under the rules to have spectators removed from the premises. Let’s all work together to make sure that there is no need to have this happen. I agree to the water polo code of conductPlayers Signature* First Last Parent/Legal Guardian's Signature* First Last Child #3 InformationIf you do not wish to sign up a third child just leave answers blank and move onto the next page.Child #3 Full Name* First Last Child #3 Age on June 15th*Child #3 Birthdate* MM slash DD slash YYYY Preferred team* 8 and under mixed 10 and under mixed 12 and under girls 12 and under mixed 14 and under girls 14 and under mixed 18 and under girls 18 and under mixed Please select the most appropriate age group and team for your child.Water Polo Participation FormSpecial Medical Conditions*I hereby consent to participation by my child in the Seattle Summer Water Polo League. I understand that this activity involves elements of risk of bodily injury, including, but not limited to, activities occurring in a pool and the surrounding environment. We will assume all risks associated with and incidental to participating in the sport of water polo. My child has no special medical conditions, except those described below, and is fit to participate on a water polo team. Check here to agree to this sectionSpecial Medical ConditionsEmergency Medical Care*In consideration of the right and privilege for my child to participate, we hereby release, waive, and agree to hold harmless the Seattle Summer Water Polo League; this club, its members, directors, employees, coaches and volunteers; the club hosting the event, its members, directors, employees, coaches and volunteers; all paid and volunteer referees for any and all liability, claims, legal actions, and demands of any nature whatsoever which may arise from or in connection with the water polo team or related activities. I understand that events may take place away from our club pool. I understand that the coaches are not responsible for transportation to games or related activities. I hereby authorize emergency medical/dental care and treatment for my child, as necessary. Check the box to consent to Emergency Medical CareWaterpolo Code of Conduct*Seattle Summer Water Polo League Code of Conduct To insure that all games are safe, family-friendly, and conducted in such a way that all participants and spectators enjoy the experience, the Seattle Summer Water Polo League has the following code of conduct. Please read it carefully. Both a parent signature and player signature is needed. This must be done prior to competing in the first game of the season. As a member of the Seattle Summer Water Polo League, I agree to: Consistently display respect, honesty, and sportsmanship toward coaches, teammates, officials, volunteers, parents and competitors. Consistently display a positive and supportive attitude toward all teams, coaches, teammates and competitors. Refrain from the display or use of aggressive behavior and offensive language, including any derogatory reference to any person’s race, sex, ethnicity, or other characteristics. All infractions that result in expulsion from a game must be reported to the SSWPL board within three (3) days. Any infraction of this code may result in, but is not limited to, the following actions by the Board: Restriction from future competition for a designated period of time. Placement on probation for a designated period of time. Restriction from participation in championship competition. In order to provide clarity to participants, coaches, parents and referees, the offenses below will result in a kick-out (the third kick-out results in removal from the game). The referee may also choose, depending on the offense, to remove the player from the game. The use of profanity towards anyone, even oneself. Addressing the referee, except during timeouts and between periods. The only exception would be to simply get clarification on the directions of the referee. Addressing the other team’s coach or other team’s bench at any time. All rules governing behavior, violence, striking, kicking, etc. included in the USWP rules will be strictly enforced. Removal for these offenses is a violation of the code of conduct and will be referred to the Board. Note to parents: While there have been very few problems with spectators contributing to a negative atmosphere, it does occasionally happen. The referee has the authority under the rules to have spectators removed from the premises. Let’s all work together to make sure that there is no need to have this happen. I agree to the water polo code of conductPlayers Signature* First Last Parent/Legal Guardian's Signature* First Last Payment InformationPayment Method Online Member Discount $0.00 Processing Fee Price: $0.00 If paying by check make payable to: Winchester Swim & Tennis Club In memo indicate: Swim Team Fee Mail to: WTSC, c/o Kim Gladstone, 11 Meadow Shores Road, South Dartmouth, MA 02748Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Review SubmissionPlease review all details below, then click to Submit your registration at the bottom. {all_fields}