Event registration

First name*

Last name*

Phone number*

Email address*

Gender*

Male

Female

Parent/Guardians Name*

Parent/Guardians Email*

Which school do you currently attend?*

Will you be competing with another school or club in the 2026/27 Summer Season?*

Yes

Which junior divisions do you wish to trial for Vikings in the BWPI 2026/27 Season? (Please list age groups you wish to nominate for?*

Under 12

Under 13

Under 14

Under 15

Under 16

Under 17

Under 18

Will Vikings be your Primary or Secondary Club?*

Primary

Secondary

Are you interested in refereeing in the BWPI 2026/27 season (Players Born 2012 and older)*

Yes

I am not eligible

Are you interested in coaching in the BWPI 2026/27 season? (Players Born 2008 and older)*

Yes

I am not eligible

Are you interested in competing at the Australian Youth Water Polo Championships in January, 2027? Please indicate your interested age groups. This is not a formal nomination and is intended to assist in clubs planning for the event.

Under 12

Under 14

Under 16

Under 18

Are you interested in competing at the WPQ State Titles in April, 2027? Please indicate your interested age groups. This is not a formal nomination and is intended to assist in clubs planning for the event.

Under 12

Under 14

Under 16

Under 18

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