Spring Cool Moves Volleyball
April 7th to May 26th, 2021
Name of Participant
*
First Name
Last Name
Parents Name
First Name
Last Name
Street Address
Street Address
For Post Office Box Use Only
City
Province
Postal Code
Email
*
example@example.com
Contact Phone Number
*
-
Area Code
Phone Number
Is This A Cell Phone Number?
Yes
No
T-shirt Size
*
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Other
Age
*
6
7
8
9
10
11
12
13
14
Year Born
*
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
Month Born
*
January
February
March
April
May
June
July
August
September
October
November
December
Day Born
*
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Self-declare volleyball experience
Please select
1) Just Beginning
2) Has played a bit at school
3) Has played more than a bit but still learning
This assists in the intial sorting of the kids into a specific court for the best coach/player/experience ratio. Everyone gets the same amount of court time.
Choose a Program
*
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( X )
Mini Volleyball for 6, 7, 8 year olds
$
155.00
CAD
Junior for 9 & 10 year olds
$
155.00
CAD
Triple Ball for 11, 12 & 13 year olds
$
155.00
CAD
Total
$
0.00
CAD
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
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