Club Registration – NORTH IDAHO WATER POLO

Membership Information

You have selected the Juniors - Winter 2026 Season Pre Sign Up membership level.

Signing up for this level will pre-register one player for the Juniors Winter 2026 season.

If you need to sign up more than one player then you must sign up with a separate account and email address for each player.

Prior to the start of the the Juniors Winter 2026 season we will email you an invite code that you can use to complete the registration and set up your payments.

Please note that once the season starts the monthly membership fee is $40, and the "free" price below is simply for this Pre Sign Up.

The price for membership is $0.00 now.

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Account Information

Username

Password

Confirm Password

First Name

Last Name

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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Parent Information

Parent 1 Full Name

The full name of the player's parent (e.g. "John Doe")

Parent 2 Full Name

(Optional) The full name of another parent of the player (e.g. "Jane Doe")

Parent Phone Number

A phone number where one parent can be reached.

Acknowledge Photo Policy

We like to share the great things happening with our club, including player achievements and celebrations. Your player's likeness/name may be used on our Website, Social Media, and/or News Media. By checking this box you acknowledge that you understand the above, and that if you wish for your child's likeness/name to not be used you will need to contact Coach Collingham to sign the Photo Exemption Form.

Digital Signature Consent

By checking this option, you consent to using a digital signature for signing the waivers.

Player 1 Information

Player 1 Full Name

The full name of the player (e.g. "Jane Doe").

Player 1 Date of Birth

Used to determine the age of the player only.

Player 1 Email Address

(Optional) An email address for your player.

Player 1 Phone Number

(Optional) A phone number for your player.

Player 1 and Parent agree to the Code of Conduct Waiver

Please read the Code of Conduct Waiver. Checking the box above acts as your digital signatures.

Player 1 and Parent agree to the Travel Waiver

Please read the Travel Waiver. Checking the box above acts as your digital signatures.

Player 1 and Parent agree to the Liability Waiver

Please read the Liability Waiver. Checking the box above acts as your digital signatures.

Player 1 and Parent agree to the Medical Waiver

Please read the Medical Release Waiver. Checking the box above acts as your digital signatures.

More Information

Swimming and Water Polo Background

Please briefly describe the player's swimming ability and background with water polo if any.

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