Lamorinda Water Polo

Registration

You must be registered with Lamorinda Water Polo (LWP) to sign up for camps, clinics or tournaments. In order to participate in LWP events you must pay registration fees and be a member of the USAWP.

*First Name:

*Last Name:

*Date of Birth:

*Gender:

*Email:

*Confirm Email:

2nd Email:

3rd Email:

*Address 1:

Address 2:

*City:

*State:

*Zip:

*Phone:

*Parents:

*Emergency Contact:

*Emergency Contact Phone:

School:

*Current Grade in School:

*USAWP #:

*USAWP Expiration Date:

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*Website Password:

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*Confirm Password:

MEDICAL INSURANCE PROVIDER:

*Provider:

*Group/Policy ID:

*Provider Address:

*Phone:

*Athlete's Physician:

*Athlete's Physician Phone:

*Athlete's Dentist:

*Athlete's Dentist Phone:

Special Medical Needs:

*Liability Release:

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MEDICAL/LIABILITY RELEASE
NOTE: The sport of Water Polo is classified as a “physical contact sport” and athlete participation can, and occasionally does, result in athlete injury. Although most injuries are minor, serious and even life threatening injuries can occur, requiring immediate medical emergency services, care and treatment.
Lamorinda Water Polo, Inc. (LWP) is a member of United States Water Polo (USAWP). Each and every registered LWP athlete must also be a member of USAWP, (no exceptions). As such, USAWP member coaches, officials, member athletes and clubs are covered with general liability insurance.
For the safety of LWPs’ athletes, coaches, officials and as required for the use of the pool sites all registered LWP athletes must have the following Medical/Liability Release on file for participation with and under the auspices of Lamorinda Water Polo, Inc.
MEDICAL/LIABILITY RELEASE
This is to certify that I, as parent/guardian for Lamorinda Water Polo Player, acknowledge the aforementioned risks associated with the sport of Water Polo and participation with Lamorinda Water Polo, Inc. (LWP) (domestically and internationally) to include, but not limited to, all practices, tournaments, traveling to and from said events.
Further, I consent to and authorize any adult LWP coach/trainer (or any adult so directed by a LWP. coach/trainer) to seek and obtain qualified medical emergency services, care and treatment for the aforementioned registered LWP athlete should the need arise. He/she is to do so in a timely manner and every attempt is to be made to contact me.
Additionally, I agree to be fully responsible for any and all expenses incurred and related to any such medical emergency, care and treatment. I agree to hold LWP and all others harmless for such expenses/liability except as provided by the USAWP membership of said athlete and that provided under USAWP for Lamorinda Water Polo, Inc. membership and/or the athlete’s personal and private medical insurance providers.

*Code of Conduct:

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REGISTERED ATHLETE, COACH, AND PARENT
CODE OF CONDUCT
I consent to abide by the below described Rules of Conduct while I am associated with, participate with or are under the auspices/control of Lamorinda Water Polo, Inc. (LWP) domestically or internationally.
I understand that violations may result in full or partial forfeiture of a registered athlete’s, coach’s, and/or parent’s privileges without recourse and /or other disciplinary proceedings as outlined by LWP’s Disciplinary Process.
1. In accordance with USA Water Polo, Inc., as well as LWP, rules governing athletes’, coaches’ and parents’ conduct, LWP registered athletes, coaches, and parents shall demonstrate good sportsmanship. This includes, but is not limited to, avoiding the following conduct:

Hazing or taunting an athlete, coach, referee or any person participating in or conducting a LWP sanctioned event;

Physically or verbally abusing n athlete, coach, or referee or any person participating in or conducting a LWP sanctioned event including but not limited to making derogatory comments about such person’s race, sex religion, age, disability, national origin, or sexual orientation;

Using obscene gestures, profane or unduly provocative language toward an athlete, coach, referee, or any person participating in or conducting a LWP sanctioned event;

Publicly and unduly criticizing an athlete, coach, referee, or any person participating in or conducting a LP sanctioned event including, but not limited to, inciting others to engage in conduct in violation of the Rules;

Negative recruiting by making unduly derogatory statements about the members or coaches of another team;

Although water polo is a physical sport, athlete and coach members of LWP are expected to refrain from engaging in any act with the intent to cause injury to another athlete; and

Coaches shall not engage in any inappropriate financial or sexual relationships with athletes.
2. Athletes, coaches, and parents of LWP shall not use, possess, or provide alcohol, illegal substances, or drugs (except as prescribed by a licensed physician) in violation of federal, state, or local laws.
3. The use of an ID card by an unauthorized person is prohibited (i.e. USAWP membership card, driver’s license, or passport).
4. Firearms, ammunition, knives, and all other items that could be construed as a weapon are prohibited.
5. Misconduct including, but not limited to, inappropriate horseplay, property damage, theft, fighting, or any act considered to be in violation of federal, state, local laws or that of a host country is prohibited.

*Playing Time Policy:

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Lamorinda Water Polo Playing Time Policy

Purpose

The purpose of this policy is to provide guidelines to coaches, players and parents regarding playing time for Lamorinda Water Polo teams.

Scope

This policy applies to all Lamorinda coaches, players and parents.

Policy

Lamorinda Water Polo is a program striving to develop the full potential of each player in the club. Playing time however, should not be expected to be distributed equally whether it is in a developmental scrimmage, game, or competition or a select/special/invite or international competition. It is also understood that a player may receive less or no playing time in a game due to attendance problems, violating the Lamorinda Code of Conduct and or Code of Ethics. Distribution of playing time shall be at the discretion of the Head Coaches. The Executive Head Coach has the authority to direct a Head Coach to address/adjust playing time if desired.

It is the desire of Lamorinda Water Polo that Head Coaches have the freedom to balance between goals of individual and team skills and giving the team a successful competitive experience.  In order to achieve this balance playing time will be based on the following factors: 
	
	-The player's attitude, focus, sportsmanship
	-The player's effort and responsiveness to coaching instruction
	-The player's attendance
	-The number of players on the team available to play
	-The level of play for a competitive tournament and/or special competition
            
These factors may increase or reduce a player's time, including no playing time at all, in any particular game, scrimmage series or tournament.  Any questions regarding this policy should be directed exclusively to the Executive Head Coach and not the AGC's, the Age group Coach, or other Lamorinda Water Polo parents. The Executive Head Coach will have the final say and may consult the Board of Directors if necessary. All parents and athletes are required to sign this policy before your player will be allowed to compete. No exceptions.

I have read and agree to abide by the terms above.

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