NORCO VOLLEYBALL
 23 Years of Building Teams, Players and People

2009 NORCO Juniors Volleyball Club
Player Registration

You will need to Print your confirmation page once this form is submitted!
* Indicates required information

Player Information

*First Name:

*Last Name:

*Home Phone #:

In the format: (555)111-2222

*Address:

*City:

  *State:   *Zip:

*School:

  School Phone #: In the format: (555)111-2222

*Grade:

  *HS Grad Year:

*Right / Left Handed:

*Date of Birth:

   

Player's Email:


*Player email recommended, however not required

Parent Information
(As you would like listed in the club directory)

*Parent / Guardian:

Parent / Guardian 2:

*Home Phone #:

In the format: (555)111-2222

Other Contact #:

In the format: (555)111-2222

*Parent's Email:

Team Information

CHECK BOX ONLY IF YOU DO NOT WANT TO BE CONSIDERED FOR A MANDATED TRAVEL TEAM

*Primary Position:

  Secondary Choice:


Uniform Number Preference (1-10 Only):  

Release of Liability

I hereby waive, for myself and my heirs, any claims of liability I may have against the organizers, directors of sponsors of this said try-out and season for any injuries, losses or damages sustained by me during the course of this try-out and season, including transportation to and from, and hereby accept the risks to my health from playing said try-outs and season.


By typing my name in below, I certify that I am the PLAYER registering for this try-out and season, that all information entered is correct to the best of my knowledge, and I have read and agreed to the above release of liability

*Player's Signature:


  *Date:    


By typing my name in below, I certify that I am the PARENT or LEGAL GUARDIAN of the player registering for this try-out and season, that all information entered is correct to the best of my knowledge, and I have read and agreed to the above release of liability

*Parent's Signature:


  *Date: