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 # ___________