Player Registration

Please fill out all player information

First Name:
Last Name:
Phone (xxx)xxx-xxxx:
Contact Email:
Alternative Email:
Address:
City: State: Zip:
Date of Birth (mm/dd/yyyy):

Female: Male:

Emergency Contact

Please provide a person we may contact in case of am emergency

First Name:
Last Name:
Phone (xxx)xxx-xxxx:
Relation:
Insurance:

Please choose best two days for practice (while spots are available)

Mon: Tues: Wed: Thurs: Any:

5-7pm: 7-9pm:

School 2008: Grade:

Please indicate which positions the player wishes to play

Outside Hitter (OH)
Middle Hitter (MH)
Right Side (RT)
Setter (S)
Libero (L/DS)

Cost $15 per class or 3 for $40, Individual Coaching $45 per hour

Please indicate which size of T shirt the player wears

Youth: Adult:

Small: Medium: Large: Extra Large:

Please fill out any requests the player may have

Player:
Team:
Coach:

Please put any comments you have here

Please type any comments or special requests here.