Trojan Water Polo Club

Trial Workout

Step 1 of 3
Biographical Waiver Payment Receipt
A free USA Water Polo (USAWP) “beginner” athlete membership is a required in order to be eligible to participate in any club practices during Trojan Water Polo Clubs 2-week free trial period.  The trial membership is for first-time USAWP athletes ONLY. This one-time 14 day membership is free to the member. To download a registration form, click here.   After you click “submit” a confirmation letter, along with your new membership ID number will be sent to you.  Please save this information for your records and print one copy to bring with you to your first club workout.  Return to this Trial Workout Form to complete registration.

You’re almost finished; please enter the USAWP ID number below and proceed with registering for TWPC Trial Workout. 
* Starred fields are required
First Name *
Preferred (Nickname)
Middle Name
Last Name *
Birth Date * (mm/dd/yyyy)
School *   Grade *
Phone
Home/Primary *
Work/Secondary
Cell/Other
Email *
Street *
Street 2
City *
State*
ZIP *
USWP Number * Exp. Date (12/31/yyyy)   USWP information/Sign-up
Left/Right-handed? Left   Right   Both
Emergency Contact (Parent, Spouse, etc)
Name *   Relation
Phone *
Name 2 *   Relation 2
Phone 2 *
Additional Information
Trial Workout Information
Date Attend (mm/dd/yyyy)
Facility attend Mira Costa High School, Manhattan Beach
Redondo Union High School, Redondo Beach
other

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