Try Out Form (Revised)

I am filling out this form for:(Required)

My child
Me: I am the player and 18+ years of age

Player's name(Required)

First Last

Player's preferred/chosen first name

My name(Required)

First Last

Preferred/chosen first name

Email(Required)

Cell number

Player's date of birth(Required)

The player will be placed on a team according to their age.

Date of birth(Required)

Player's preferred pronouns

she/her
he/him
they/them

My preferred pronouns

she/her
he/him
they/them

Player's allergies and/or medical conditions

Only include allergies and/or medical condition(s) that may affect the player's participation in water polo.

Allergies and/or medical conditions

Only include allergies and/or medical condition(s) that may affect your participation in water polo.

My name (parent/guardian)(Required)

First Last

Email (parent/guardian)(Required)

Cell number (parent/guardian)

Name of 2nd parent/guardian

First Last

Email for 2nd parent/guardian

Cell number for 2nd parent/guardian

Player's experience with swim lessons(Required)

Tell us about the player’s swimming background (current or past lessons). This helps our coaches support them during try out sessions. Select all that apply:

No formal lessons, but comfortable in the water
Currently enrolled in swim lessons (community centre or private)
Completed beginner levels (can swim 25m)
Completed intermediate levels (comfortable with multiple strokes, can swim 50–100m)
Completed advanced levels (strong swimmer, can swim 100m+)
Recreational swimmer (swims casually with family/friends)
Current or past member of a swim club / competitive experience
Lifeguard training or certifications

Your experience with swim lessons(Required)

Tell us about your swimming background (current or past lessons). This helps our coaches support you during try out sessions. Select all that apply:

No formal lessons, but comfortable in the water
Currently enrolled in swim lessons (community centre or private)
Completed beginner levels (can swim 25m)
Completed intermediate levels (comfortable with multiple strokes, can swim 50–100m)
Completed advanced levels (strong swimmer, can swim 100m+)
Recreational swimmer (swim casually with family/friends)
Current or past member of a swim club / competitive experience
Lifeguard training or certifications

How did you find out about us?

Friend or family recommendation
School program or teacher
Community center or local pool (poster, flyer, staff)
Social media (Facebook, Instagram, etc.)
Online search (Google, Bing, etc.)
Local sports event or tournament
Word of mouth at another sports club

How did you find out about us?

Friend or family recommendation
School program or teacher
Community center or local pool (poster, flyer, staff)
Social media (Facebook, Instagram, etc.)
Online search (Google, Bing, etc.)
Local sports event or tournament
Word of mouth at another sports club

Additional notes about player

Please add any additional information that would help the coaches get to know the player better.

Additional notes

Please add any additional information that would help the coaches get to know you better.

Parent/ guardian acknowledgement(Required)

By selecting the corresponding box, you agree to the following statements:

I certify that the information provided on this form is accurate to the best of my knowledge. As the parent or guardian named above, I give permission for my child to participate in all water polo activities. I assume all risks and hazards associated with participation, including travel to and from activities. I hereby waive, release, absolve, and indemnify the organizers, coaches, managers, referees, players, participating parents/guardians, and anyone transporting the player to or from activities from any claim arising from injury to the player.
I agree that the player will observe the rules of the club at all times.
I give permission for the above information to be provided to Water Polo West for insurance coverage.

Player acknowledgement(Required)

By selecting the corresponding box, you agree to the following statements:

I certify that the information provided on this form is accurate to the best of my knowledge. As the player named above, I acknowledge my participation in all water polo activities. I assume all risks and hazards associated with participation, including travel to and from activities. I hereby waive, release, absolve, and indemnify the organizers, coaches, managers, referees, players, participating parents/guardians, and anyone transporting me to or from activities from any claim arising from injury to me.
I agree that I will observe the rules of the club at all times.
I give permission for the above information to be provided to Water Polo West for insurance coverage.