This expression of interest is conducted in accordance with our Data Collection Privacy Policy

Enter your email address*

SECTION 1: Basic Information

Club or association number

Please select box below

SECTION 2: Program Information
Please fill out the information below and once confirmed, your program's details will be listed on the WPA website to provide an avenue for additional promotion.

i.e, Fridays, 4.30pm to 6.00pm

e.g. 7 to 12 year olds, new to water polo

Only fill in if different to the primary contact

If different to above

Please tick the box below to add program information

Please tick the box below to add program information