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4 on 4 Rebel Volleyball - 4th-7th Grade
Registration Deadline: October 25, 2023
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Team Name
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Your answer
First and Last Name of Player Registering
Your answer
Grade
*
4th
5th
6th
7th
Team Members
*
Your answer
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Qty 1
Qty 2
Qty 3
Qty 4
Qty 5
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Qty 1
Qty 2
Qty 3
Qty 4
Qty 5
Date of Birth
*
MM
/
DD
/
YYYY
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
How will fees be paid?
*
SchoolPay
Cash/Check
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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