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4 on 4 Rebel Volleyball League - 3rd-6th Grade
Registration Deadline: October 31, 2021
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Student First and Last Name
Your answer
Site Student Attends
*
Dilworth Elementary
Glyndon-Felton Elementary
DGF Middle School
Other
Grade
*
3rd
4th
5th
6th
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Required
Date of Birth (MM/DD/YYYY)
*
Your answer
Parent/Guardian Name
*
Your answer
Home Phone Number (XXX-XXX-XXXX) If Not Applicable, N/A
*
Your answer
Parent/Guardian Cell Phone Number (XXX-XXX-XXXX) If Not Applicable, N/A
*
Your answer
Mailing Address
*
Your answer
City, State, Zip
*
Your answer
Parent/Guardian Email
*
Your answer
Fees are due by 10/31/2021 (Payable to DGF Schools)
*
SchoolPay
Cash/Cash in Community Ed Office
I give/do not give permission for photos or videotapes of my child to be reproduced for DGF promotional or educational purposes.
*
Yes, I give permission
No, I do not give permission
WAIVER
*
I, the undersigned, parent/guardian of the above name child assume responsibility in case of accidents, injury or lost or damaged personal items during the program’s duration.
I agree
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