Untitled Document

“Volleyball League”
Registration Form

Please Print

Player’s Name: ___________________________________________________

Age: _______ Date of Birth ______________Sex: (M/F)______

Parent’s/Guardian’s Name:_________________________________________

Address:___________________________________________________

State: ______ City: _____________________ Zip: _______________

Phone # (Home): ________________________ (Work)_______________ (Cell)_______________

In an emergency contact:__________________________________________

Name of School child attends __________________________________

Address:___________________________________________________

State: _____ City: _____________________ Zip: _____________

Grade Level attending: ____ Sports: _______________ Years:_________

E-Mail: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Volleyball Release Form

Please, read the following carefully:

I, the undersigned, release One on One and all other entities connected to the League from all liability for any injuries (mental or physical) or losses incurred while taking part in league activities.
In the event of a medical emergency I authorize the coaches present at the time to act for me according to their best judgment. I also grant permission for my child to be given treatment at a local hospital if it is deemed necessary.
There are no limits to my child’s participation except as stated in writing and included with this registration form.
Permission is granted to One on One to use photographs of the participants in any promotional materials.

__________________________________________________________

Signature of parent/guardian Date