San Jose Water Polo Foundation
Summer Session 2016
San Jose Water Polo Foundation (SJWPF) is an independent water polo club open to boys between the ages of 14 and 18. The club’s purpose is to provide water polo training to competitive players interested in building a team to compete at national level tournaments. This training will include fundamental skill work, offensive and defensive strategy, and conditioning. SJWPF is a registered member of the Pacific Zone of USA Water Polo, club number 30505.
Our Program:SJWPF’s program offers training sessions along with possibility to compete in JO Quals and NJO’s. Athletes will be selected to compete on JO competition teams.
Dates:May 17– July 26
Team selection period will be May 17 – June 3
Practice Times: 6-8pm on Tuesdays and Thursdays
Practices will take place at Bellarmine or Valley Christian depending on age group and
team selection. See additional schedule sheet for more info.
Cost:$300 per athlete. This cost covers training fee for entirety of summer and JO Quals if athlete is selected for one of the JO Qualifying teams.
If selected for JO Qualifying team and the team qualifies for JO’s there will be an additional cost to compete at JO’s. Athletes must commit to participating in JO’s before securing a place on a JO qualifying team.
Questions:Please contact Colin Mello at or Caleb Carlson at
USWP All athletes must be registered with USWP for 2016 as a Gold Athlete and listed as a member of SJWPF (#30505). Additionally, athletes must complete the age verification process. You can register online at Choosethe link for “Join Now” on the top. Please get this taken care of as soon as possible.
Financial Aid:Please contact Colin Mello or Caleb Carlson for questions
San Jose Water Polo Foundation
Player’s Name:______Age:______Birth Date:___/____/___
Player’s Email: ______
USA Water Polo registration number: ______Expiration Date: ______
Family/Parent’s Email: ______
Home Phone: ______
Allergies or medical conditions:
______
Emergency Contact #1: ______Cell #:______
Emergency Contact #2: ______Cell #:______
Insurance Company: ______Group No.:______
JO PARTICIPATION COMMITMENT: If selected for a JO Qualifying team my son, ______,
will participate / will NOT participate (circle one) in all games at JO Quals from June 11-26 and Junior Olympics from July 23-26, assuming that his team qualifies and that he is physically able to play.
REGISTRATION AND PAYMENT
Checks only, please. A check for $______, payable to San Jose Water Polo Foundation
Return to: Colin Mello, by hand, or mail to 316 51st Street Apt. #4, Oakland, CA, 94609
Registration Agreement
1. I hereby authorize the SJWPF program staff to act for me according to their best judgment in any emergency requiring medical attention, and hereby waive all rights and claims and release the program and its staff, agents and directors, and Bellarmine College Preparatoryor Valley Christian Schools for any and all liability for any injuries, illness or damages while my child is enrolled in the program. I take complete responsibility for any and all medical expenses incurred. 2. No application is accepted and no spaces will be reserved for athletes until registration fees have been received. 3. The instructional nature of our program necessitates constant expenses and the employment of specialized personnel. Full payment for the session is required. There will be no makeup days, credits or refunds given for absence. If a participant cannot return to the program owing to illness or accident, a doctor’s note must accompany the withdrawal request. In that case the refund will be prorated. 4. SJWPF reserves the right to cancel any program due to insufficient enrollment. SJWPF may use photos taken during the program for promotional purposes. 5. If a participant is expelled for disciplinary reasons, the fees will be forfeited.
I have read this agreement and agree to all terms and conditions.
Parent’s Signature:
______Date: ______
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