*
Required
Student Preferred First Name
*
required
Student Last Name
*
required
Preferred Email
*
required
Student's Birthday
*
required
Student's Current School
*
required
Parent/Guardian Name
*
required
Address 1
*
required
Address 2
City
*
required
State
Zip
Country
*
required
Cell Phone Number
*
required
Boarding or Day Student?*
Boarding
Day
Desired Year of Entry
*
required
Please Select…
2021-22 school year
2022-23 school year
Applicant for:
*
required
Please Select…
Third Form (9th Grade)
Fourth Form (10th Grade)
Fifth Form (11th Grade)
Sixth Form (12th Grade)
Referred by
Water Polo Information
Current club team
Current school team
Throwing Arm
Right
Left
Years of experience, including current or upcoming season
1
2
3
4+
I have never played before
Height
Position(s)
Please list all positions played, in order of preference
Do you also swim competitively?
Yes
No
Please list your swimming events and top times for each event
Highlight Video URL
Additional Questions/Comments
Please send a confirmation email to the address below: