TEXAS TRY OUTS

Texas Try Outs Registration Form

Full Armour Volleyball Club
Athlete Information
Player Name*

First NameLast Name
Club experience?*

YesNo
Guardian / Parents Names*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Cell Phone
undefined
E-mail*
example@example.com
Parent/ guardian interested in being a team parent?

YESNO
Important Notes

· arrive 15-30 min prior court ready.. hair up/ shoes on

· verify registration/ paid at table

· get number bib and picture
Emergency Contact & Health Insurance Information
Emergency Contact's Name*

First NameLast Name
Phone Number*
Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?*

YesNo
Please describe*
Players Date of Birth*

MonthDayYear
Date
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:
I give consent for the facility to secure any and all necessary emergency medical care for my child.
Name of Physician / Emergency Medical Care Facility
Phone Number
Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities at Sport Center's facilities may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the Sport Center and the persons in charge.
I have read and agree to the above conditions*

YesNo
Confirmation E-mail*
example@example.com
Signature*

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Texas Try Outs Registration Form

Release of Liability