2008-2009 SEASON TRYOUT REGISTRATION


To register to the Southern Connecticut Volleyball Club Girl's Tryouts,
please use the  form below to provide your information*

* - Fields with asterisk are required

PLAYER'S NAME:   *
ADDRESS:   *
CITY:   *
ZIP CODE:   *
PHONE:   *
E-MAIL:   *
PARENT(S) NAME(S):   * &  
AGE:   *
DATE OF BIRTH:  
SCHOOL:   *
GRADE:   *
POSITION:   *
HEIGHT:   *
     
HOW DID YOU
HEAR ABOUT US?:		   *
     
IF OTHER,
PLEASE EXPLAIN: 		 
     
COMMENTS:  
     
Parent's Release
 

I,   parent of  ,
agree to the following liability release: Participation specifically agrees that Southern Connecticut Volleyball Club, its officers, employees and agents shall not be held liable for any claims, demand, cause of action of any kind whatsoever, for or on account of death, personal injury, property damage or loss of any kind resulting from or relating to participants' use of facilities or participation in any sport, exercise or activity within or out of the Club premises, and participant agrees to hold Southern Connecticut Volleyball Club harmless for the same. I also give my permission to have the above child receive any emergency treatment deemed necessary.

I accept the terms:      

Note: You must click the "I accept the terms" checkbox above to submit the form. If you do not
               agree to the Parent's Release terms, use the "Cancel Form" button.