Volleyball Week - Kid's Clinic Registration Form

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The Muncie Sports Commission is partnering with Munciana Volleyball to provide a FREE Volleyball Clinic for boys & girls in 3rd-5th grade.
When: Thursday November 2nd - 6pm-7pm (registration table open at 5:30pm)

Where: Munciana Volleyball Facility (200 S 600 W Rd, Yorktown, IN 47304)

Player's Name *

Grade Level *

3rd Grade

4th Grade

5th Grade

School *

Player's Shirt Size - LIMITED EXTRAS AVAILABLE AFTER PLACING SHIRT ORDER 10/31 - 2PM *

Youth Small

Youth Medium

Youth Large

Youth X-Large

Adult Small

Adult Medium

Adult Large

Adult XL

PARENTS: HELP US RUN A SAFE CLINIC Parents, we require your permission and consent for your child to participate in the Clinic. Please read and certify the following by signing and completing the form below: *

My child has my permission to participate in the Volleyball Clinic provided by Munciana Volleyball & the Muncie Sports Commission

I certify that there is no reason, medical or otherwise, that would prevent my child from participating safely in vigorous physical activities.

I understand that I release the Muncie Sports Commission and Munciana Volleyball from liability for any and all injuries that may occur as a result

I understand that photos of my child may be taken during Volleyball Clinic and could be used in, but not limited to, marketing, promotional, web content or other materials regarding the Clinic..

Required

Parent/Guardian Name/Signature *

Parent/Guardian Phone *

Parent/Guardian Email Address *

Emergency Contact *

Emergency Contact Phone Number *

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