SPIKES Girls Volleyball Program Registration
This program operates in a two-season format. You can register for both seasons or for one at a time. 

SPIKES is offered for girls between the ages of 10-years-old to 13-years-old. 

The program runs on Monday nights from 7:00PM to 9:00PM between the seasonal dates of September 11, 2023 to December 18, 2023 for the fall season and January 22, 2024 to May 13, 2024 for the winter/spring season. 

SPIKES operates in Ellesmere Community Centre at 20 Canadian Road. 

PAYMENT INFORMATION
For the Fall Season the cost is $120. For the Winter/Spring Season the cost is $150. For the entire year is $270. 

Payments can be made by e-transfer to nextgensportz@gmail.com upon submission of this registration form. Please indicate in the transfer the participant's full name and the program name. 

Alternatively, payment can be made in-person onsite during Monday night sessions at Ellesmere Community Centre via cheque or cash. 

*Please note that while you must submit individual registration forms for each participant that you are registering, it is acceptable to make combined e-Transfer payments as long as the names of all participants are indicated within the transfer. 
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Email *
Athlete Information
Please provide all the necessary information about the participant. 
Name (First and Last) *
Address *
Phone Number(s) *
Birthday *
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School *
Shirt Size *
We provide our athletes with NSA t-shirts as appreciation for their support and participation. Please indicate the participants preferred size for our records. 
Health Card Information *
We need to have a health card on record in case of emergencies during our program. Please indicate the health card number and version code. 
Physical Limitations/Allergies *
To ensure that our program delivery is accessible to the needs of our participants, we ask that you indicate any physical limitations or allergies that the participant has. 
Medications *
Please indicate any medications that may impact the athlete's participation. 
Parent/Guardian Information
Name (First & Last) *
Phone Number(s) *
Email Address *
Emergency Contact
In case of an emergency, we need to have someone to contact on behalf of the participant. This person may or may not be the same as the parent/guardian listed above. 
Name (First & Last) *
Phone Number(s) *
Email Address *
Level of Play *
Every participant is interested in our program for a unique purpose. By indicating the participant's level of play, you are ensuring that we are able to meet the expectations of our athletes. 

Competitive refers to higher level gameplay including tournaments and drills to prepare for more competitive play. 

Recreational refers to more skill-based programming that prioritizes engaging in fun activities to practice relevant skills. 
Required
Photography/Videography *
Please indicate whether or not you give permission for your child to be photographed or recorded for the purposes of promotional materials. 
Required
Signature of Parent/Guardian
The following is the official NextGen Sportz Association (NSA) waiver. Please read thoroughly and sign electronically below:

Should it become necessary for my/our child to have medical care, I/we hereby give the NSA Leader permission to use her/his best judgment in obtaining the best of such service for my/our child.  I/we understand that any cost will be my/our responsibility.  I/we also understand that in the event of illness or accident, I/we will be notified as soon as possible.

I understand that my child’s participation in this activity may have undesired and unanticipated consequences.  Notwithstanding this, I hereby release and forever discharge NSA and all affiliates, members, directors, officers, leaders, agents, volunteers and employees from any and all actions, causes of action, suits, claims, demands, liabilities, including negligence, any expense I have now or may have in future in connection with, arising from or related to my child's involvement with or participation in this activity.

I agree that by submitting this, I am electronically signing this document.
Name (First & Last) *
Please provide your full name to serve as a digital signature. By submitting this, you are electronically signing this document and, thereby, agreeing to the above terms. 
Date *
Please provide the date during which you are submitting this form to validate the above electronic signature. 
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