2024-2025 Volleyball Tryout Registration
Player Registration
Athlete's Name
*
First Name
Last Name
Birth Date
*
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Year
Are you a student in Georgetown ISD?
*
Yes
No
What school do you attend?
*
What is Your Student ID Number?
*
Athlete's Grade Level
*
Please Select
4th
5th
6th
7th
8th
9th
10th
11th
Address
*
Street Address
City
State / Province
Postal / Zip Code
Guardian's Name
*
Guardian's E-mail
*
example@example.com
Guardian's Phone Number
*
Event
*
Please Select
Summer Tryout
Athlete's Skill Level
*
Please Select
Beginner (0-1 year experience)
Intermediate (2-3 years experience)
Advanced (4 or more years experience)
Fee
*
Please Select
$70 Tryout
Source of Payment
*
Please Select
Cash
Check (Texas Shockers)
Website (Texasshockers.com)
Zelle (shockersvolleyballtx@gmail.com)
Tryout Information - Ages 11-13
Dates & Times: Tuesday, 7/16/24 - 6:00-8:00pm
Tryout Information - Ages 14-16
Dates & Times: Tuesday, 7/16/24 - 6:00-8:00pm
Location
1621 Rockride Ln, Georgetown, TX, 78626
Notes: Please Bring
Water Bottle, Athletic top/shirt, Athletic bottom/shorts, Tennis Shoes, Hair Tie, Knee Pads, and Form of Payment
Refund Policy
Payments of any kind are nonrefundable.
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Health Information
Do you have health insurance?
*
Yes
No
Does the athlete have any allergies, chronic illness, or medical conditions that the program should be aware of?
*
Yes
No
Please describe
Parental Permission for Emergency Treatment
In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to a medical facility to secure any and all necessary emergency medical care for my child.
Name of Physician/ Emergency Medical Care Facility
*
Signature
*
Release of Liability
Although the safety of all athletes in sport activities is the primary concern, indoor sport activities at Wagner Middle School under Texas Shockers' supervision, the facilities may cause injuries. I assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against Wagner Middle School, Texas Shockers and the persons in charge.
I have read and understand the above conditions
*
Please Select
Yes
Signature
*
Comments/ Questions:
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