Event registration

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Details

2026 Premier League and Reserve Grade Expression of Interest

Specific dates and times to be advised by Water Polo Queensland

Valley Pool

Google · Outlook · iCal

Yes No

First name*

Last name*

Phone number*

Email address*

Address*

Name (First and Last)*

Mobile Number*

Email*

Current Club*

Date of Birth*

I am nominating for*

Mens

Womens

Have you previously competed with another Premier League Clubs*

I understand that there will be a cost involved to compete*

Yes

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

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