2024 VIP EOI for State League Trials

2024 State League Registration Form
Name

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Training Session - To assist us with numbers, please indicate which session you will be attending.

Women: 6:30-8:00pmMen: 8:00-9:30pmJuniors 5:00 - 6:30pm (B & G)
I understand there is a small fee for non VIP members $40 (1- 6 training sessions)

Returning VIPNew to VIP
Level Trialling for:

Premier 1 MPremier 1 WPremier 2 MPremier 2WReserves MReserves WSociialU/19 bJunioreU/19 GJuniors U/17 BJuniors U/17 GJuniors U/15 BJuniors U/15 G
Currently Playing

Not playing, just startedSchoolClubVictorian RepresentationOther
School/Academy/Club currently/previously play with:
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number (if u/17)
Please enter a valid phone number.
Parent/Guardian Email (if u/17)
example@example.com
I understand that I must sign up to StackTeamApp - Volleyball VIP - General Member. I acknowledge that this is for ease of communication, not a commitment from either party for a team position.

Yes, I have signed up and have been accepted by StackTeamApp - Volleyball VIPYes, I have signed up and am waiting acceptance from VIPNo, I haven't but will be doing it
I, (Parent/Guardian) Name: blanks give permission for my (child's) photographs or videos taken as part of VIP's daily program, to be used now or in the future for the purpose of external communications, including advertising and marketing as well as posted on the service's Social Media account(s) including Facebook, Instagram and website.

I understand I can withdraw the above consent at any time by advising VIP in writing.

My/ Parent/Guardian's Name:blank
My/Child's Name:  First Name   Last Name   .
My/Child's Address:Street Address   Address Line 2   City   State   Zip
My/Parent/Guardian: Signature
Should be Empty:

2024 State League Registration Form