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Water Polo NSW Development Academy – Athlete Acceptance Form

Congratulations on being selected for the NSW Development Academy! This program is designed to support the ongoing development of athletes through high-quality coaching, training opportunities, and pathway support.

The purpose of this form is to confirm your acceptance of a position in the program. Please complete the following details to officially secure your place.

Username

Password

Forgot login details?

Select your age range*

Select your gender identity*

Male

Female

Non-Binary

Differently identify

Enter your post code*

Enter your email address*

Athlete Full Name*

Athlete DOB*

Athlete Club*

Academy Division*

Please select one of the below.

U13 Boys

U13 Girls

U15 Boys

U15 Girls

Athlete Emergency Contact - Name*

Athlete Emergency Contact - Mobile Number*

Athlete Emergency Contact - Email Address*

Does the athlete have any medical conditions or illnesses that Academy staff should be aware of?

If yes, please provide details.

Does the athlete have any current injuries the Academy Staff should be aware of?

If yes, please provide details.

Do you accept your invitation to participate in the NSW Development Academy?*

Yes

Do you accept that the athlete levy for the 2025 NSW Development Academy is $300 + GST*

Yes

Do you always acknowledge that you are bound by the relevant WPNSW & WPA Codes of Conducts and Policies*

Yes

Do you accept that failure to pay your athlete levy in the prescribed timeframe may result in your suspension from the 2025 NSW Development Academy

Yes

Swimwear Size

Turbo

T-Shirt Size

Kap 7

Shorts Size

Kap 7

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Water Polo NSW respectfully acknowledges the Traditional Custodians of the lands in which we are on. We pay our respects to Elders past, present and emerging.

We are committed to a positive future for all Aboriginal and Torres Strait Islander communities and to honor their ongoing cultural and spiritual connections to this country and recognise the role and value of culture.

We are a proudly diverse organisation, who actively celebrates LGBTIQ+ diversity, inclusion, and pride.

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