Senior Membership Form

Fees

Senior ($430)
Full-time Student / Unemployed ($380)
Playing Life Member ($100)
Associate Member ($50)

If student, please enter Student ID

Member Details

Given Names *

Surname *

Gender Male Female

Date of Birth *

Address *

Suburb *

Postcode *

Home phone number *

Mobile phone number *

Email * (to receive newsletter)

Occupation

Competition Details

What is your preferred grade? *

Do you need a transfer from another club? Yes No

Volunteering

Triton is a club run by volunteers, your support will be required during the season. Please circle below the roles that you can help us with:

Team Manager
Coach
Social events
BBQs
Timekeeping
Website

Payment

Payment Options

Payments in Full Payments in Two Installments

Second installment due by the 30th November.

Payment Method

Online

You will be taken to the Paypal website in order to complete your payment.

Electronic Transfer

Payment details: Triton Water Polo Club, Bank West, BSB: 306-051 Account No: 419201-6.

Please use the receipt number in your confirmation email as the payment description in your bank transfer.

Cheque

Cheque payable to Triton Water Polo Club

To commence participation in the 2010/11 Water Polo season, members MUST have submitted a completed Membership Form AND at least 1 instalment of fees. Please be advised that 2nd fee instalments are due by the 30th of November.

An administration fee of $30 will be deducted on any refund.

Coaching Water Polo

Champions Since 1963

News & Events

Triton Waterpolo Club
is proudly supported by:

Fees

Member Details

Competition Details

Volunteering

Payment

Payment Options

Payment Method

Coaching Water Polo

Champions Since 1963

News & Events

Triton Waterpolo Clubis proudly supported by:

Senior Membership Form

Fees

Member Details

Competition Details

Volunteering

Payment

Payment Options

Payment Method

Triton Waterpolo Club
is proudly supported by: