Athlete Registration

Website Registration Information

This information is used to login and access the members area of Capital Wave's website

Athletes firstname.lastname* Please separate the firstname and lastname with a period! This will be the username you will use to login to Capital Wave! example: rodrigo.rojas

E-mail* This email is used for accessing the the Capital Wave website and for password recovery. NOTE: You may use the same email address for multiple athletes!

Password* Leave alone if not changing password

Repeat Password* Leave Blank if not changing password

How did you hear about Capital Wave?*

Athlete Information

First Name*

Last Name*

Preferred Name Name the athlete would like to be called by

Gender*

Male
Female

Gender

Date of Birth*

Proof of AgeUpload In order to register our athletes with Ontario Water Polo, proof of age of our members is required. We accept passports, driver’s licenses or birth certificates as proof of age. Please include a clear photo copy or scanned copy with registration.

Health Card (Optional)

Medical InformationDoes your child have any medical illnesses, behavioural/learning needs that may require special attention, or need a specific coaching technique in order for him/her to be successful?

Athlete Contact Info

Street Address*

City*

Postal Code*

Cell Phone Required phone number format: ###-###-####

E-mail This is the athletes email address, ONLY if applicable.

Primary Contact/Emergency Contact

First Name*

Last Name*

Relationship*

Cell Phone* Required phone number format: ###-###-####

E-mail*

Club Volunteer
Yes
I will be volunteering with the club and wish to be covered by Ontario Water Polo Insurance

I have read and understood the Notice of Warning*I have read and understood the Notice of Warning

I have read, understood and will abide by the OWP Standards of Behaviour Policy*I have read, understood and will abide by OWP Standards of Behaviour

I have read, understood and will abide by the terms and conditions of the Water Polo Canada Code of Conduct*I have read, understood and will abide by the terms and conditions of the Water Polo Canada Code of Conduct

Gender*
Male
Female
Primary Contact Gender for OWP insurance

Date of Birth* Date of Birth for OWP insurance

Secondary Contact

First Name

Last Name

Relationship

Cell Phone Required phone number format: ###-###-####

E-mail

Club Volunteer
Yes
I will be volunteering with the club and wish to be covered by Ontario Water Polo Insurance

I have read and understood the Notice of Warning*

I have read, understood and will abide by the OWP Standards of Behaviour Policy*

I have read, understood and will abide by the terms and conditions of the Water Polo Canada Code of Conduct*

Gender*
Male
Female
Required for OWP insurance

Date of Birth* Required for OWP insurance

Website and Media Permission

We enjoy telling the community about the many positive things taking place within our club. However, we want to strike the right balance between getting our message out and respecting the wishes of parents/guardians who do not want their child's name or photo displayed on the Internet. Photos, video footage and names are displayed at the coaches’/ Board of Directors’ discretion and are not be used for commercial gain. There are a number of times during the year when athletes wish to be photographed, interviewed or videotaped (e.g. tournaments, special events, practices).

PHOTOGRAPH/PRESS RELEASE*
I give consent that media containing the athlete may be included in any promotional material that the club produces.
I give consent that media containing the athlete may be included in any promotional material that the club produces but the athlete name must be excluded.
I do not consent to the use of any media containing the athlete.

Billing Information
First Name*
Last Name*
Address*
Town / City*
State / County*
Postcode / Zip*
Email Address*
Phone*

Ship to a different address?

I am human*