State League - U15 Parental Waiver
Club
*
Dandenong Volleyball Club
Eastside Hawks
Heidelberg Volleyball Club
International Volleyball Club
KVA Future Stars Volleyball Club
La Trobe University Volleyball Club
Maroondah Cobras
Mazenod Volleyball Club
McKinnon Volley
Melbourne University Renegades
Monash University Volleyball Club
Mornington Volleyball Club
Oakleigh Volleyball Club
Phantoms Volleyball Club
South Gippsland
Victoria University Volleyball Club
Volley Friends United Melbourne
VIP
Western Region Volleyball Club
Yarra Ranges Volleyball Club
Player Name
*
First Name
Last Name
Player's Date of Birth
*
/
Day
/
Month
Year
Date
Player's Postal Address
*
Street Address
Street Address Line 2
City
State
Postal Code
Parent or Guardian's Name
First Name
Last Name
Contact Number
DECLARATION
I acknowledge that in accordance with the State League Bylaws players aged Under 15 may be given approval to participate in the State League upon receiving approval from the Volleyball Victoria (VV) and State League management. I hereby give my consent to my child participating in the State League and in doing so I herewith seek VV approval for my child to do so.
Parent or Guardian's Name
First Name
Last Name
Sign
Submit
Should be Empty: