YOUTH MUD VOLLEYBALL - GRILLE IT UP

REGISTRATION BY TEAM
$55 PER TEAM
DEADLINE JUNE 27TH @ 4:30PM

PLAYERS MUST BE 13-16 YEARS OLD AND MUST HAVE PARENTAL CONSENT ON INDIVIDUAL PLAYER WAIVER TO PARTICIPATE

ALL ROSTERS, PLAYER WAIVERS, AND REGISTRATION FEES ARE DUE BY THE DEADLINE

PLEASE READ RULES POSTED ON THE WEBSITE BEFORE SUBMITTING ENTRIES

TOURNAMENT STRUCTURE WILL DEPEND ON THE NUMBER OF TEAMS PARTICIPATING

GAMES WILL BE JULY 12TH STARTING AT 5:30PM UNLESS OTHERWISE SPECIFIED BY THE TOURNAMENT DIRECTOR

TEAM NAME *
TEAM CAPTAIN * First Last
PHONE * - ### - ### ####
ADDITIONAL PHONE - ### - ### ####
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email Address *
PLAYER #1 * First Last
PLAYER #2 * First Last
PLAYER #3 * First Last
PLAYER #4 * First Last
PLAYER #5 * First Last
PLAYER #6 * First Last
PLAYER #7 First Last
PLAYER #8 First Last
Registration Confirmation
You will receive a email confirmation stating DPR received your registration form. If you do not receive confirmation of registration please contact the park office 573-624-8244, it is your responsibility to confirm receipt of registration form. If DPR does not receive your registration and you do not have proof of registration (screen shot or email) your registration will not be accepted.
Payment Option *

Payment Option Pay Online Pay in Park Office Payment left in drop box

NO REFUNDS.
Draw your signature into the box below. *

Clear
All teams must be registered by the deadline date, no exceptions and no refunds. This registration certifies that the team captain has acquired and understands all rules and regulations associated with the tournament. It is the team captain's responsibility to inform his/her team of all rules and regulations of the tournament. All rules are final and will not be changed prior to the tournament. Signing below gives Department of Parks and Recreation and its assigns, both during and anytime 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 purpose and activities of the Department of Parks and Recreation.
This signature verifies that I understand that all final rosters/individual player waivers, and registration fees must be turned in by the DEADLINE at 4:30pm. All Players under must have parental consent on their player waivers in order to participate. *

Clear
Player waivers will be sent via: *

Player waivers will be sent via: Drop off at the Park Office Leave in the Park Office drop box Emailed to brooke@dexterpark-rec.com Faxed to 573-624-5298