Use this form to register a Junior Player
for the 2019 season.

Player's Name *
Player's Name
Age group is determined by the player's age as of January 1st.
Ethnicity *
Please select all that apply
Home Address *
Home Address
If applicable
Parent/Guardian Name (1) *
Parent/Guardian Name (1)
Parent/Guardian Name (2)
Parent/Guardian Name (2)
Policies & Consent *
On behalf of myself and my child, I agree to abide by all Waitakere Water Polo Club and Association policies and provide consent for my/my child's image to be used by the Club. Policies are accessible on the Documents page. Please email any concerns to secretary@waitakwaterpolo.co.nz
You will be sent an invoice regardless of which option is selected. Please note that there is a surcharge of 3% on credit/debit cards

Once you have registered, you will be sent an invoice and the relevant age group coordinator will be in touch.

Click here to purchase club uniform.

Please email Deb, admin@waitakwaterpolo.co.nz if you have any questions.