YOUTH VOLLEYBALL REGISTRATION

Girls Grades 4th-6th
PLAYER REGISTRATION FEE $40

Knee pads are REQUIRED to play and are NOT provided by DPR.

This league is a recreation league. It is designed to keep your child active and occupied during the season. This is a non-competitive league. All players will be placed on teams randomly

REGISTRATION DEADLINE AUGUST 10TH

Player's Name: * First Last
Grade (starting the 23-24 school year) *

Grade (starting the 23-24 school year) 4th Grade 5th Grade 6th Grade
Player's Birthday * / MM / DD YYYY
Player's T-shirt Size *

Player's T-shirt Size YOUTH SMALL YOUTH MEDIUM YOUTH LARGE ADULT SMALL ADULT MEDIUM ADULT LARGE ADULT XLARGE
Medical Information:

Please list any conditions that the player's coach needs to be aware of.
Name of sister playing in the same division First Last
If you have a sister playing in the same division, list their name so that they will be placed on the same team. Remember only brothers and sisters in the same household will be placed on teams together. If you have a special circumstance please contact the park office.
Parent/Guardian Name: * First Last
Relationship to Player *

Relationship to Player PARENT GUARDIAN
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone * - ### - ### ####
This number will be given to the coach for player information.
Email *
I'm interested in: *

I'm interested in: I'm not interested in helping Coaching (specify shirt size below) Sponsoring Officiating
Shirt Size if Coaching:
Parent Shirts ($15 per shirt) *

Parent Shirts ($15 per shirt) I do not want parent shirts YOUTH SMALL YOUTH MEDIUM YOUTH LARGE ADULT SMALL ADULT MEDIUM ADULT LARGE ADULT XLARGE ADULT 2XLARGE (+$2) ADULT 3XLARGE (+$2)
Note additional Parent Shirt Sizes or Quantities:
Be Advised: *

All DPR sports are considered "contact sports". At some point, whether it be a practice or a game, players may experience physical contact from his/her coach or other players. This contact may take place as a coach teaches a skill that requires hands-on instruction, players are running drills against each other or it may simply be an act of praise. However, we do not tolerate aggressive physical behavior from our coaches.
Payment: *

Payment: Pay Online Pay at Park Office Payment in Drop Box

All registration forms and payment must be received by the deadline.

Online Payments are processed through PayPal. When registration form is submitted you will be redirected to a Thank You page so that you can add the registration fee to your Cart.
PROGRAM WAIVER:
We, as parents (guardians) of the above-named child give our permission to his/her participation in this year's program. We assume all risks and hazards incidental to such participation in this program. We understand we are responsible for our child's transportation to games and practices and for the return of any uniform or borrowed equipment in our possession at the end of the season. Signing below gives Department of Parks & Recreation and its assigns, both during and any time after, to use their likeness, name, voice, or words in either television, radio, film, newspaper, magazines, social media, and other media, and in any form, for the purpose of advertising or communication the purposes and activities of the Department of Parks & Recreation. *

Clear
After submitting this form you will receive a confirmation email. This is your proof of registration. All forms and payments must be received by the deadline. After submitting this form you will select "Add To Cart" to be taken to a PayPal page to make payment. *
IMPORTANT PARENT INFORMATION/PLEASE READ:

All parents/guardians must sign up for Remind App or Notifications to receive correspondence related to this program.

Name: Youth Volleyball
Remind Code: @46recvball
OR Text @46recvball to 81010 *