Volleyball Registration PDF Print E-mail

 SSAP VOLLEYBALL 2014

3rd 4th 5th 6th 7th 8th grades are welcomed

                                   Volleyball season is October 4 through November 22. Tournament on December 5,6, and 7th.
 

                                              COST $60

REGISTRATION DEADLINE Aug 30, 2014


Childs Full Name: ________________________________________________

Home Address: __________________________________________________

Grade: ___________   School:_______________________________________

Skills

Years involved

Need More info

Yes

NO

comments:

Played Rec

Clinics

Played Select or Club

Club or select

Shirt order form

 

Number of shirts

Sizes

Total Cost

Player Jersey (free)

 

Youth: M L Adults: S M L XL

 

Club support Shirt ($10)

 

Youth: M L Adults: S M L XL XXL

 

Coaches Shirt

 

Youth: M L Adults: S M L XL XXL

 

 

PARENT/GUARDIAN EMAIL:_____________________________________________

PHONE: HOME_______________________CELL/WORK______________________

MEDICAL/PHYSICAL CONDITIONS A COACH SHOULD BE AWARE OF

 

VOLUNTEER!

Please

COACH NAME:__________________________________________________________________          

CONTACT INFORMATION:________________________________________________________

 

By state law, effective July 9, 1988, we must inform you that coaches, managers, referees, or anyone who prepares any playing court shall not be liable for the injury, death, or property damage of any participant in the volleyball program ran by SSAP and Papillion Recreation which results from the negligence of any of the above listed individuals. Your signature appearing below on this registration form is your acknowledgement that you clearly understand the above statement and realize that this is a release of liability. Make yourself a copy of this form when completed by you.

 

PARENT/GUARDIAN SIGNATURE:___________________________________________________DATE:____________________

(REQUIRED if participant is under 18 years of age)

Enclose check ($60) payable to S.S.A.P. with registration and return to Springfield or Westmont Elementary or Platteview Junior High school OR mail to:

 Shawn Carder

SSAP Volleyball

16613 Olive Street, Omaha, NE 68136

REGISTRATION DEADLINE Aug 30, 2014

 


 

 

Last Updated on Monday, July 28, 2014 at 02:21 pm