Water Polo Boys VAR

Name: Water Polo Boys VAR
SKU: 2333
Price: 305.00 USD
Availability: InStock

$305.00

Level: VAR

Dates: June 10 – July 9 (MON – FRI)

Time: 3:00 PM – 5:00 PM

Location: AQUATIC CENTER

Coach: Emery

Student Name *

Student E-mail *

Student Date of Birth *

Home School District *

School Attending in Fall 2024 *

Grade Entering in Fall 2024 *

Emergency Contact Name *

Emergency Contact Number *

Emergency contact email *

Alternative contact email (optional)

Alternative contact email for course-related communication

Medical Insurance Carrier *

Medical Insurance Policy # *

Responsible Party on Policy *

Primary Physician *

Primary Physician Phone # *

I have reviewed the RBEF Summer Sports Camps Authorization to Participate and Release of Liability. I acknowledge, accept and agree to the terms and conditions stated in this form. *

I agree.

RBEF Summer Sports Camps Authorization to Participate and Release of Liability

I have reviewed the RUHS Athletics Release of Liability. I acknowledge, accept and agree to the terms and conditions stated in this form. *

I agree.

RUHS Athletics Release of Liability

I agree that registration and participation in the camp is not complete until the physical clearance is delivered in person to RUHS Athletics Office or emailed to Clara Kahan at ckahan@rbusd.org. DO NOT submit physicals prior to May 1st. *

I agree.

DOWNLOAD THE PHYSICAL CLEARANCE
PRINT AND COMPLETE. DO NOT submit physicals prior to May 1st. Please note that this is a 2-page pdf document. Some IPhone devices do not correctly display the second page.
DELIVER in person to RUHS Athletics Office or emailed to Clara Kahan at ckahan@rbusd.org.

Refund Policy *

I agree.

Check refund policy here

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