Lane Tech Water Polo

Lane Tech Water Polo Player and Parent Info Sheet
The following information needs to be completed by all Boys and Girls participating and trying out for Water Polo. The top half is questions for the player, the bottom half is for the parents. All questions must be answered at one time. Before submitting confirm that all information is correct. All data collected will be used to speed the process time of orders for the students that make the team. ONLY SUBMIT ONCE, IF THERE IS A CHANGE SPEAK TO COACH RUMMELHOFF.
Team *
Player's First Name *
Player's Last Name *
Player's Preferred Name (if different from above)
Player's E-mail *
Player's Cell Phone # *
Birth Date *
Year *
Divsion Code *
Student ID # *
Have you turned in a Physical for another sport	Yes (select sport below) No
Sport you have IHSA Physical on file.
Have you ever played water polo? *	No Yes
Preferred Cap # (this is not a guarantee) *
Second Choice for Cap # (this also is not a guarantee) *
Water Polo Suit Size *
Mesh Short Size *
T-Shirt Size *
Hooded Sweatshirt Size *
Read Carefully *	By Checking this box you agree that the sizes and numbers listed above are correct.
The Following is Parent and Guardian Information. Please fill out as much as possible. This info is used in case of emergencies and informational purposes.
Parent's First Name *
Parent's Last Name *
Parent's E-mail
Parent's 2nd E-mail
Parent's Main # *
Parent's Cell #
Best Contact (Check One)	E-mail House # Cell #
Enter the code as it is shown: *