DVC Team Placement Registration Form 2021

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This information is collected for programming coordination. Personal information will not be used or disclosed by Dartmouth Volleyball Club for purposes other than those for which it was collected. Registration fees, practice times and other pertinent team detail will be communicated prior to the first session.

Program Confirmation *

Please confirm the program you're registering for

13U Girls Team Placement Registration

Required

Players' First Name *

Players' Surname *

Player's Date of Birth (Month, Day, Year) *

YYYY

School

Grade *

Street Address *

City, Province *

Postal Code

Parent/Guardian (1) First and Last Name *

Parent/Guardian (1) email address *

Parent/Guardian (1) phone number (Format as ###-###-####) *

Parent/Guardian (2) First and Last Name

Parent/Guardian (2) email address

Parent/Guardian (2) phone number (Format as ###-###-####)

Player's Health Card # *

Emergency Contact Name *

Emergency Contact Phone number *

Player's Jersey Size *

Youth Extra Small

Youth Small

Youth Medium

Youth Large

Youth Extra Large

Other:

Liability Waiver *

Checking the box below indicates you have read and agree to the Liability Waiver found on our website (About Us > Liability Waiver)

We Agree

Required

Player/Parent Code of Conduct *

Checking the box below indicates that you have read and agree to DVC's parent/player code of conduct found on our webpage (About Us > Policies).

We agree

Required

Permission to post photos *

Please indicate below if you give permission for photos of your child to be posted on our website and/or on social media (Facebook, Instagram, etc.)

Yes

Required

Submit

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