RVC REGISTRATION FORM
Player_________________________ Age______________________
Address_________________________________
Parent or Legal Guardian________________________
Email Address____________________________
Phone __________________________________
Choose which program you are registering for by placing an “X” by each one:
____ Clinic/ Day Camp
____Winter League (January 28th-March 10th)
____Jr High Club League
____Private lesson
____Serving practices only (Thursdays at 5-6)
____2011-2012 club team_________________________
I understand that registering my daughter in one or more of the above sessions will require normal physical activity related to volleyball skills. I accept full responsibility for any injury occurred by my daughter during these sessions at RVC and agree that RVC, the staff of RVC or anyone that is connected to these sessions will not liable for any injury while participating in any event at RVC.
In the event of any injury, I wish RVC to:
1) Attend to the player immediately by calling EMS
2) Call me directly at________________ for instructions
____________________________________
Signed by parent or legal guardian
Amount paid____________ check #____________
You may mail form and payment to 702 S. Persimmons, Bldg 2-C, Tomball, 77375 or make an appointment to bring in person.
281-734-8641
