Club Competition Entry Form

Personal Details
Name*
First Last
Email*
Date of Birth*

Please enter your Date of Birth
Gender*
Cell Phone*
Are you a goal keeper?*
School or Club teams last year
List all teams you played in last year, School, Club and Rep
Comments
Consent*
I Consent to the following
- I allow Waikato Waterpolo to use photos and likenesses of me for promotional materials including publishing on its website and Social Media pages (including Facebook, Instagram, etc)
Email
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Personal Details