CYVBC Surge Saturday “Minis”

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Saturday Mini Group Sign-Ups

- 6:30-8:00pm

- All of our dates are full, but you can sign up for the waitlist for each date below. If a spot opens up, directors will email you asap!

- Clippard YMCA: 8920 Cheviot Road, Cincinnati, OH 45251

- $10 a player - Check (Made payable to Clippard YMCA), or cash — cash is preferred 😃

- Coaches will collect payment at check-in!

- Directors will email more information before each session

**Medical release form is required the first time your daughter attends! After she turns one in, she will not need to bring anymore. https://www.ovr.org/forms/Player_Medical_Release_wo_Notary.pdf**

CYVBC Surge Website - cyvbcsurge.com
Club Director Contact - Jessica Schloemer (cyvbcsurge@gmail.com)

Email *

Player First and Last Name *

Player School *

Parent Name *

Parent Birthday (Needed for our accounting system😊)

YYYY

Parent Cell Phone Number *

Player Grade Level *

Current 2nd Grader (and NOT currently playing for another club volleyball team)

Current 3rd Grader (and NOT currently playing for another club volleyball team)

Current 4th Grader (and NOT currently playing for another club volleyball team)

Current 5th Grader (and NOT currently playing for another club volleyball team)

Other:

Player Birthday *

YYYY

What date(s) would you like to sign-up for? *

WAITLIST FOR 1/13 (**not registering for a spot. Jessica will email if a spot opens for your daughter(s)!**)

WAITLIST FOR 1/20 (**not registering for a spot. Jessica will email if a spot opens for your daughter(s)!**)

WAITLIST FOR 2/3 (**not registering for a spot. Jessica will email if a spot opens for your daughter(s)!**)

WAITLIST FOR 2/10 (**not registering for a spot. Jessica will email if a spot opens for your daughter(s)!**)

WAITLIST FOR 2/24 (**not registering for a spot. Jessica will email if a spot opens for your daughter(s)!**)

WAITLIST FOR 3/2 (**not registering for a spot. Jessica will email if a spot opens for your daughter(s)!**)

WAITLIST FOR 3/30 (**not registering for a spot. Jessica will email if a spot opens for your daughter(s)!**)

WAITLIST FOR 4/6 (**not registering for a spot. Jessica will email if a spot opens for your daughter(s)!**)

WAITLIST FOR 4/20 (**not registering for a spot. Jessica will email if a spot opens for your daughter(s)!**)

Other:

Required

Do you have any questions?

A copy of your responses will be emailed to the address you provided.

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