Eastern Water Polo League Registration Form

Send completed form and roster to: AWP 320 West 5th Street Bridgeport, PA 19405
Checks should be made payable to Eastern Water Polo League
Club Name      
Coach      
Address      
City    State    Zip
Email Address   Cell Phone  
Home Phone    Work Phone
Division Desired:
Division
Number
of Teams
x
Cost
=
Amount to be paid
Senior Men  
x
$1175
=
 $
Total          

All participants must be registered with AWP. For registration information, click here.