Event registration

Details

2027 WA State Country Water Polo Championships

Fri 26 Feb 2027 10:00 - Mon 01 Mar 2027 09:00

TBA

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First name*

Last name*

Phone number*

Email address*

Address*

Date of Birth*

Residential Address*

Nominating for*

Preferred Cap Number*

Do you require bathers*

Women's Bather Size*

Men's Bather Size*

Quantity of Bathers

Team Shirt*

Quantity of Shirts*

Do you require a Hat*

Quantity of Hats*

Do you require transport to Bunbury (From Perth)*

Yes

Do you require accommodation in Bunbury*

Yes

Do you have any medical conditions*

Please enter any further information or comments for your Manager Max 255 characters

I will be available for the 2027 State Country Water Polo Champs*

I agree to pay a $100 deposit & pay all other amounts owing by 31st Dec 2026*

I agree to attend additional training sessions*

I agree to attend & participate in all fundraising events*

Yes

I would prefer to pay my own way & not fundraise

Please note

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*