Water Polo Registration – Orchard Hills Athletic Club

Water Polo Registration Form 2025

"*" indicates required fields

Child's Name*

First Last

Child's Age*

As of June 14th

Has your child ever played water polo before?*

Which class level are you registering for?*

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Member #

Name*

First Last

Email*

Phone*

Emergency Contact*

First Last

Phone*

In case of emergency, Preferred Hospital

Are you an OHAC member?*

Water Polo Class*

Price:

Total Due

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Order Token