St. Cecilia Sports Program

2010 Fall Girls Volleyball Registration

      

St. Cecilia Sports Program
2010 Fall Girls Volleyball Registration

Last Name: _______________________________ First Name:_____________________

Address: ________________________________________________________________

City: ________________________________ State: ___________ Zip: ______________

Home Phone Number: _____________________________________________________

Parent Cell Phone Number: _________________________________________________

Parent E-mail Address: ____________________________________________________

Mother's Name: __________________________________________________________

Father's Name: ___________________________________________________________

Registration Fees: $65 Make checks payable to: St. Cecilia Sports Program

Grade: (circle) 4th 5th 6th 7th 8th

I, the parent/guardian of the above named player, a minor, agree that I and the player will abide by the rules and regulations of the volleyball league, the affiliated organizations, and its sponsors. In consideration of the player's participation in the volleyball programs and activities of the volleyball league parties, I, for myself and the player and our respective heirs, administrators and successors, intending to be legally bound, hereby release and indemnify the volleyball league parties, the owners and operators, employees, agents and representatives from against all claims, liabilities, damages or causes of action arising out of or in connection with the player's participation in the programs. I also understand that this is a recreational volleyball league and unsportsmanlike conduct will not be tolerated from the players or parents. Coaches will have the right to dismiss a player from the team for offensive behavior at practice or a game.

Parent/Guardian Signature __________________________________________________

Yes, I am interested in helping in the following areas: (circle)
Coach Assistant Coach Line Judge

Name: __________________________________________________________________


Return to Lois Childers c/o Georgia Childers at St. Cecilia School, grade 6


Sports Program Use Only - Do not write below this line

Date ______________ Amount Paid _________ Check # ___________

 I, the parent/guardian of the above named player, a minor, agree that I and the player will abide by the rules and regulations of the volleyball league, the affiliated organizations, and its sponsors. In consideration of the player’s participation in the volleyball programs and activities of the volleyball league parties, I, for myself and the player and our respective heirs, administrators and successors, intending to be legally bound, hereby release and indemnify the volleyball league parties, the owners and operators, employees, agents and representatives from against all claims, liabilities, damages or causes of action arising out of or in connection with the player’s participation in the programs. I also understand that this is a recreational volleyball league and unsportsmanlike conduct will not be tolerated from the players or parents. Coaches will have the right to dismiss a player from the team for offensive behavior at practice or a game.

 

Parent/Guardian Signature __________________________________________________

 
Yes, I am interested in helping in the following areas: (circle)            Coach               Assistant Coach                        Line Judge Name: __________________________________________________________________ 
 Return to Lois Childers c/o Georgia Childers at St. Cecilia School, grade 8 

Sports Program Use Only – Do not write below this line

 

Date ______________  Amount Paid _________ Check # ___________