2024-2025 Texas Shockers Tryout Registration Form

2024-2025 Volleyball Tryout Registration

Player Registration
Athlete's Name*

First NameLast Name
Birth Date*

MonthDayYear
Are you a student in Georgetown ISD?*

YesNo
What school do you attend?*
What is Your Student ID Number?*
Athlete's Grade Level*
Address*

Street Address

CityState / Province

Postal / Zip Code
Guardian's Name*
Guardian's E-mail*
example@example.com
Guardian's Phone Number*
Event*
Athlete's Skill Level*
Fee*
Source of Payment*
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 NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.
Health Information
Do you have health insurance?*

YesNo
Does the athlete have any allergies, chronic illness, or medical conditions that the program should be aware of?*

YesNo
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*

Clear
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*
Signature*

Clear
Comments/ Questions:
Should be Empty:

2024-2025 Volleyball Tryout Registration

Tryout Information - Ages 11-13

Tryout Information - Ages 14-16

Location

Notes: Please Bring

Refund Policy

Emergency Contact Information

Health Information

Parental Permission for Emergency Treatment

Release of Liability