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Viper Volleyball Academy Summer 2023
Grass Volleyball Program at 277 Kerman Ave, Grimsby
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Email
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Athlete's First Name
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Athlete's Last Name
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Athlete's Gender
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Athlete's Date of Birth
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Program? Please note that league play is not available for all groups. See website for details.
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6 week Skills
14 week Skills
14 week Skills/League Play
Preferred Group?
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Tuesday’s 13U - 15U Group A (2008-2010)
Wednesday’s 12U - 15U Club (2008-2011 experienced players)
Thursday’s 8U - 12U (2011-2015)
Thursday’s 13U - 15U Group B (2008-2010)
Friday's 13UB - 15UB (2008-2010 boys)
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Does the athlete have any allergies, chronic illness, or other medical concerns that we should be aware of? If yes please describe.
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T-Shirt Size
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Youth Small
Youth Medium
Youth Large
Adult Small
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Parent/Guardian's First and Last Name
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Home Phone Number
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Cell Phone Number
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Home Address
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Emergency Contact First and Last Name
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Relationship with Emergency Contact
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Emergency Contact Phone Number
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Athlete's Volleyball Experience (Check all that apply)
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School Volleyball
Organized Recreational Volleyball at a non-Vipers program
Vipers Recreational Programs (beach, grass, or indoor)
Competitive Volleyball at a non-Vipers club
Vipers Club Teams
New to the sport!
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How did you hear about Viper Volleyball Academy?
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