Download Registration Forms


You can download the Riverside Water Polo registration forms here or you can fill out the forms online.
Click here for Word Document version. (Updated 11-25-08)
Click here for the PDF version. (Updated 11-25-08)

If you prefer to fill out and submit the forms online, continue below.
** Returning members do not need to fill out this form unless registration information has changed. **

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Riverside Aquatics Water Polo Disclosures
2007-2008




Riverside Aquatics Association provides the most comprehensive swimming and water polo program in the Inland Empire area. Our team’s philosophy is to teach young swimmers and water polo players swimming skills, water polo skills, discipline, teamwork, and of course…fun!

Riverside Water Polo offers players the opportunity to improve their fundamental skills, as well as increase their understanding of the game. Our belief is that through quality year round coaching, our athletes will continue to grow and improve. One of the highlights of our program is the opportunity to qualify and compete each August in the Water Polo National Junior Olympics. This provides the athletes with the opportunity to compete against some of the country’s top athletes at their respective age levels.

FEES:


Session 1 (Fall) September 8 – November 30 (November 16 for High School Girls)
Session 2 (Winter) December 1 – February 29* (two week break at Christmas Holiday)
Session 3 (Spring) March 1 – May 14
Session 4 (Summer) May 15 – Junior Olympics (end of July for Boys/beginning August for Girls)
All dues must be paid at the beginning of each session and are Non –Refundable.

High School Players $250 Fall $250 Winter $250 Spring $250 Summer
Age 11-14 $240 Fall $200 Winter $200 Spring $200 Summer
Age 10 and Under Co-Ed $195 Fall $165 Winter $165 Spring $165 Summer


** You may join at any time during a session and your dues will be pro-rated.**

If you decide to not participate, for whatever reason…. besides telling your coach…. Please send at note to the Club address or you will continue to be billed for subsequent sessions. Mail all correspondence to:

Riverside Water Polo
P.O. Box 21321
Riverside, CA 92516


If your dues are not current your child will be asked to stay out of the water until the bill is paid.


DUES INCLUDE:


• 5-7 hours of practice/instruction time a week
• Scrimmages
• Riverside Water Polo hosted tournaments
• Tournament fees are separate. Please see below.

USWP (United States Water Polo) REGISTRATION:


All players are required to join USWP (United States Water Polo) which is a separate fee. We are part of Zone 7, the Southern Pacific Zone (SOPAC)…. For more information, go to the following website: www.usawaterpolo.com and download the form or register on-line. We will need a copy of your registration to keep on file.

Things to know:


Club Name: Riverside Water Polo
Club Number: 241
Zone Name: SOPAC (Southern Pacific)

TOURNAMENTS:


Teams are put into different tournaments and leagues during the year as they become available. Our coaches determine if a particular tournament would be advantageous for a team to participate depending on that team’s ability at the time. Entering leagues, tournaments and setting up scrimmages are left to the discretion of the head coach and his assistants. Transportation to and from tournaments is the responsibility of the parents. Tournament fees vary by age level and session. Please see the session hand out for your player’s specific fees. All tournament fees must be paid before a player will be allowed to participate in the game, tournament or league.

TEAM PARENTS:


Each team has a team parent volunteer who will keep the team informed as to what is going on with regards to practice times, tournaments, team rosters, etc. This parent will help the coach with all the busy work in order for him/her to spend more time coaching the players.

POOL SITES AND PRACTICE SCHEDULES:



Our home pool is Sippy Woodhead. Other locations are available depending on the need. Practice times and pools vary with the different age groups. All teams practice at least 2 evenings a week. Schedules are determined by the coaches at the beginning of each month, depending on the up-coming tournaments scheduled, pool sites and pool time that is available to us. Because we are at the mercy of others we need to be flexible. Practice is mandatory unless cleared by the coach (so please communicate with your coach). The whole team is affected when a player is not there.

TEAM APPAREL:


All players are required to purchase a team suit and team shirt. Please visit the Club website or contact your team parent for more information. The Junior Olympic Teams may be required to purchase additional items.

FUNDRAISERS:


We will have fundraisers during most sessions to help off set the cost of tournament and League play. Some examples are a Casino Night, Dinner at Islands, Community Players plays, a State Line Bus Trip and possibly a golf tournament. Due to the fact that we are a non-profit organization, any donations made to the program are greatly appreciated. Donations may also be used to scholarship players in need. Please contact the Head Coach if you are interested in making a donation. Thank you.

JUNIOR OLYMPICS:


It is our desire that all players will want to participate in the National Junior Olympics. For the older players, it is a great opportunity to be scouted by college coaches. In the spring, a selected group of players will get to attend a qualification tournament for Junior Olympics. The cost for participation in this tournament will be determined. JO’s usually takes place the last week of July and/or the first week in August. Teams from all over the United States participate in this event. Depending on where this event takes place determines the cost. Costs can include: air fare, hotel, tournament fee, rental vans and food etc.


We hope we have answered most of your questions:
Any other questions or concerns you can contact Doug Finfrock through his e-mail:
allaboutpolo01@hotmail.com
Thank-you,
Doug Finfrock
(951) 544-4930



Online Registration Form

If you are a new member, please fill out and submit the form below.
** Returning members do not need to fill out this form unless registration information has changed. **


Athlete's Information:
First Name:
Middle Initial:
Last Name:
Street Address:
Apt #:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Email Address:
Date of Birth:
Gender:

Currently a Member of RAA Swim Team?

All Players must be USWP registered prior to entering the water.
Applicant Type:
   
USWP Membership Number:
Expiration Date:
   


Father's Information:
First Name:
Middle Initial:
Last Name:
Phone Number:
Type:
Email Address:


Mother's Information:
First Name:
Middle Initial:
Last Name:
Phone Number:
Type:
Email Address:


Parent Volunteer Duty:
Every family must participate. Please check all that apply.
         Publicity  
   Sponsorships

Emergency Contact Information: Contact #1
Contact Name:
Home Phone Number:
Work Phone Number:
Cell Phone Number:
Relationship:
       Other Relative


Emergency Contact Information: Contact #2
Contact Name:
Home Phone Number:
Work Phone Number:
Cell Phone Number:
Relationship:
       Other Relative


Medical Information
Physician Name:
Physician Phone Number:
Medical Insurance Company:
Policy Number:
Allergies to Medication (if any):


Emergency Authorization

In the event of a medical emergency, I authorize the care and treatment of my athlete by a qualified medical professional.
Physician Name:
Physician Phone Number:
Medical Insurance Company:
Policy Number:

Waiver of Liability

By submitting this form, I hereby release, indemnify and hold harmless, Riverside Aquatics Association, its Board of Directors, Officials, Coaches, Representatives, and Employees from any claim arising out of injury to the named athlete. I also hold harmless Riverside Aquatics Association, its Board of Directors, Officials, Coaches, Representatives, and Employees from any claim arising out of injuries or condition caused by or aggravated by my refusal to obtain medical treatment based on religious or philosophical beliefs or otherwise.