Athlete Information Form
Your name:
Email:
Date of Birth:
Phone:
Water Polo experience, awards, position:
2011-2012 OMBAC Women's Water Polo          ombacwaterpolo@yahoo.com
OMBAC is a registered trademark of Old Mission Beach Athletic Club, ALL RIGHTS RESERVED.
                                                    OMBAC Membership

OMBAC membership for the 2011-2012 season requires USWP Membership, a $40 annual
membership, practice dues:
Quarterly - $120
Monthly - $50
Drop-in - $10

Payments can be made online via paypal, or in person to Catherine Gouge.
Payments are due by the 5th of each month to be permitted to practice and play.


                                                     USWP Membership
$85 Gold Athlete, $65 Silver Athlete
  • Must be Gold to play in tournaments
  • Can purchase Silver then upgrade to Gold
Go to www.usawaterpolo.com to register
  • Sign up under Old Mission Beach Athletic Club, club ID # 17265
  • Sign up today!  Memberships expire December 31st





Questions? Email ombacwaterpolo@yahoo.com
 
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