GCJVB Club Season Registration Form

Mini Season (Players born July 1, 2010 or after)

September - October

1-2 Tournaments in Wesley Chapel or Clearwater

Club Season (Teams ages 11U - 16U)

November 2024 - May 2025

Travel requirement: State Teams may include overnight travel, Regional Teams include overnight and out-of-state
Mini Season non-refundable tryout fee: $50

Mini Season TUITION $450

Club Season non-refundable tryout fee: $50

Club Season Non-Refundable DEPOSIT $550

Tryout Fee and Deposit - Cash or Check Only
For Mini Season & Club Season, please check BOTH boxes:*

Mini Season ONLYClub SeasonAcademy-Clinics
AAU Membership #: (ADD Club code: W37BAA*
All players are required to have an active AAU membership. Go to www.AAUVolleyball.org and purchase an Extended Membership $22
Athlete Information
Player Name*

First NameLast Name
Player was referred by:

Last NameFirst Name
Player's Date of Birth*

MonthDayYear
Date
Player's Age
Player's Height?
Player's Dominant Hand?*

RightLeftOther
Player's School*
Player's School Grade:

FifthSixthSeventhEighthNinthTenthOtherOther
Preferred Jersey Number:
Second Choice Jersey Number
Shirt Size:*

Youth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLOther
Spandex Size:*

Youth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLOther
Hoodie Size:*

Youth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLOther
Has athlete played on a competitive volleyball team? If yes which club(s)?*

Volleyball skill level*

	1	2	3	4	5	6	7	8	9	10

1 is Beginner Never Played, 10 is Advanced Varsity HS Team

Club Team Experience

NoneMini SeasonMiddle School TeamVarsity HS Team1 Club Season3+ Club SeasonsOther
Desired position? (no guarantees for placement in a specific position)

SetterMiddle BlockerOutside HitterRight SideLiberoDefensive SpecialistOther
Primary Contact Parent/Guardian *

First NameLast Name
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Cell Phone*

Area CodePhone Number
Primary E-mail*
Other Contact Parent/Guardian

First NameLast Name
Other Cell Phone

Area CodePhone Number
Other Email
example@example.com
Are you willing to be a team representative or sponsor?

Team RepresentativeSponsorTeam Representative AssistOther
Emergency Contact & Health Insurance Information
Emergency Contact's Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship*
Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?*

YesNo
Please describe*
ACKNOWLEDGEMENT OF RISKS OF PARTICIPATION

I acknowledge that volleyball or any sporting event is an extreme test of a person’s physical and mental limits and that my participation in a volleyball event
can cause any or all of the following: property damage, including loss or damage to personal property; serious injury (including athletic injuries such as
broken bones, concussions, or other injuries); sickness and disease (including communicable diseases and viruses (including COVID-19 or bacteria);
trauma; pain & suffering; permanent disability; exposure to extreme conditions and circumstances; exposure to communicable diseases (including COVID-
19); accidents involving other participants; contact or collision with other participants, playing surfaces, balls or other natural or manmade objects; and,
paralysis and death.

With a full understanding of the potential risks, I HEREBY ASSUME THE RISKS OF PARTICIPATING OR OFFICIATING IN A VOLLEYBALL EVENT. I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns: a) I WAIVE, RELEASE, AND DISCHARGE from any and all claims or liabilities for death, exposure to disease, personal injury or damages of any kind, EXCEPT THAT WHICH IS THE RESULT OF GROSS NEGLIGENCE AND/OR WANTON MISCONDUCT OF PERSONS OR ENTITIES LISTED BELOW, which arise out of or relate to my traveling to and from or my participation in any volleyball event, THE FOLLOWING PERSONS OR ENTITIES: USAV, RVAs or AAU tournament directors, sponsors, and the officers, directors, employees, representatives, and agents of any of the above; b) I AGREE NOT TO SUE any of the persons or entities listed above for any of the claims or liabilities that I have waived, released or discharged herein; and c) I INDEMNIFY AND HOLD HARMLESS the
persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions.

If applicant is under 18 years of age, a parent or guardian must execute, in addition to the foregoing Waiver and Release, the following, for and on behalf of the minor player named above. The undersigned parent and natural guardian or legal guardian of the player named above and executes the foregoing Waiver and Release for and on behalf of the minor named herein. I hereby bind myself, the minor and all other assigns to the terms of the Waiver and Release. I represent that I have legal capacity and authority to act for and on behalf of the minor named herein, and I agree to indemnify and hold harmless the persons or entities named in the Waiver and Release for any claims or liabilities assessed against them as a result of any insufficiency of my legal capacity or authority to act for and on behalf of the minor in the execution of the Waiver and Release. I fully consent to my child’s participation in USAV, RVAs or AAU events.
I have read and agree to the ACKNOWLEDGEMENT OF RISKS OF PARTICIPATION*

YesNo
Signature*

Clear
GCJVB 24 HOUR RULE:

The relationship between coaches, parents and athletes like any other relationship, may have some ups and downs. There may be situations that need to be addressed with the coach. How you address the issue is just as important as resolving the issue itself. Before you as the parent intervene, please as yourself if your child should be speaking for themselves. There are several advantages to having your daughter, rather than you, speak directly to the coach. Our coaches are always open to input and suggestions from players. This can be an empowering experience for young athlete, even if they don’t get the result they seek.

Gulf Coast Jrs will enforce the "24 Hour Rule" policy with regard to addressing

a complaint or issue of concern.

1. There shall be no contact with any member of the coaching staff regarding

a complaint or issue of concern (whether it is about a Coach or player’s

conduct, language, playing time, position played, etc...) before, during or

after a volleyball game for a 24 hour period following the occurrence of an

issue of concern.

2. Should there still be an issue of concern after the 24 hour period has

passed, the parent shall contact the coach and schedule a meeting. The

meeting shall be confidential and include either the assistant coach or club

director.

VOLLEYBALL CODE OF CONDUCT:

GCJVB WILL NOT TOLERATE:
- Any action considered to be an offense under Federal, State or local law ordinances.
- Violation of the specific policies, regulations, and/or procedures of the USAV, RVA, AAU or the facility used in conjunction with a sanctioned event.
  (It is the responsibility of the individual to be familiar with applicable specific policies, regulations and procedures.)
- Conduct which is inappropriate as determined by comparison to normally accepted behavior.
- Physical or verbal intimidation of any individual.
- Actions that will be detrimental to USAV, RVAs OR AAU.
I have read and agree to the 24 Hour Rule and Code of Conduct*

YesNo
Signature

Clear
Confirmation E-mail*
After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at Info@GulfCoastJrs.com.
How did you hear of Gulf Coast Juniors Volleyball Club?*

Previous Club/Clinic/TeamCoachEmailFacebook or other social mediaInternet search ie. GoogleSchoolFriend or family (If you check this please add name above)Other
Should be Empty:

Mini Season (Players born July 1, 2010 or after)

Club Season (Teams ages 11U - 16U)