Please complete all of the requested information and submit. 
We need to have the swim teams information database updated. 

All spring and summer water polo players
will be required to have a USWP Membership. 
I have included a link to the
USWP Membership page
for your convenience.

Required Fields are under lined.
Information Submission Page
Athlete Information:
Last Name
First Name
Initial
Preferred name
Birth Date
Athelete's E-Mail address
Primary Contact Information:
Last Name
First Names
Mailing Address
Mailing Address
City
Zip
State
Home Phone
Parent's Cell Phone
Athlete's Cell Phone
Parent's E-Mail Address
Medical Information:
Athelete's USWP Membership Number
Doctor's Name
Doctor's Phone
Emergency Contact Name
Emergency Contact Phone
Medical Conditions
Medications
First Name