SET Water Polo - Online Registration

SET Automatic Payment Processing System

Monthly payments will be billed to each member accounts on the 7th of each month.
Payments will post to the billing account as SET Water Polo Club.
Cancellations must be received prior to the start of the month. To cancel, please email setaquatics@gmail.com
Refunds will not be issued once the monthly session has commenced.

* Starred fields are required

First Name *

Preferred (Nickname)

Middle Name

Last Name *

Create Password

Sex *

Female Male

Birth Date *

School

Grade

Home *

Cell *

Texting Cell

Mobile provider

Email *

Country *

Street *

Street 2

City *

State *

ZIP Code *

USWP Number *

Exp. Date

(12/31/yyyy) USA Water Polo information/Sign-up

Left/Right-handed?

Left Right Both

Name *

Relation

Phone *

Name 2 *

Relation 2

Phone 2 *