4 on 4 Rebel Volleyball League - 4th-7th Grade
Registration Deadline:   October 20, 2019
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Team Name *
First and Last Name of Player
Names of all team members on team if a pre-formed team is signing up.  If signing up individually, no team name needed as we will assign you.
Grade *
T-Shirt Size *
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Date of Birth (MM/DD/YYYY) *
Parent/Guardian Name *
Home Phone Number (XXX-XXX-XXXX) If Not Applicable, N/A *
Parent/Guardian Cell Phone Number (XXX-XXX-XXXX) If Not Applicable, N/A *
Mailing Address *
City, State, Zip *
Parent/Guardian Email *
Fees are due by 10/20/19 (Payable to DGF Schools) *
I give/do not give permission for photos or videotapes of my child to be reproduced for DGF promotional or educational purposes.   *
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.  
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El formulario se creó en Dilworth Glyndon Felton School District 2164. Denunciar abuso