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Youth League Volleyball 1st-6th Grades
"
*
" indicates required fields
Youth League for 1st-6th Grades, $25 (includes team shirt), League dates Sept. 6-Oct. 11, Registration deadline Aug. 1
Youth Volleyball (grades 3-6)
Product Name
Quantity
Price:
-$34.00
Quantity
Child's Name
*
First
Last
Parent/Guardian's Name
*
First
Last
Parent/Guardian's Phone (area code + phone number)
*
Parent/Guardian's Email
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
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Delaware
District of Columbia
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Guam
Hawaii
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U.S. Virgin Islands
Vermont
Virginia
Washington
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Wisconsin
Wyoming
Armed Forces Americas
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Armed Forces Pacific
State
ZIP Code
Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Willing to Coach
*
Yes
No
Division
*
1st/2nd grade
3rd/4th grade
5th/6th grade
Participation Waiver
*
I agree to the participation waiver.
We, or I, as parent and/or legal guardians of the participant named above, herby give consent for my child to participate in this program and all other activities incidental thereto, including practice, actual participation, being a spectator thereto, and any incidental travel connected with the activity. I further agree to assume full responsibility in case of any accidental injury incurred while participating in this activity. By enrolling, I waive and release all rights and claims arising from this activity against the Clearwater Recreation Commission, the City of Clearwater, USD #264, Mulvane Recreation Commission, USD #263, the City of Haysville, its representatives, successors and coaches from injury, illness and accident resulting in participation in this program.
Parent/Guardian Signature
*
Total
Payment Method
*
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.
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