Eclipse Girls Fall Clinic Signup Form
All sessions 1-3pm Sunnyvale Comm Center (Sports Center) Note: They are intended for 8th graders or advanced 7th graders with prior club experience, serious about trying out for the 14s club team. This helps to ensure quality of play for all attendees.
Player Name
*
First Name
Last Name
Email
*
example@example.com
Grade
*
Please Select
7
8
9
Select sessions
*
14s All 7 dates (9/7, 9/8, 9/28, 9/29, 10/6, 10/19, 10/20)
15s All 5 dates (9/7, 9/8, 9/28, 9/29, 10/6) (Eclipse members only)
Select dates below
Click to fill out select dates to attend
Type a question
9/7
9/8
9/28
9/29
10/6
10/19
10/20
Choose single date
9/7
Choose single date
9/8
Choose single date
9/28
Choose single date
9/29
Choose single date
10/5
Choose single date
10/6
Choose single date
10/19
Choose single date
10/20
end
First time participant?
New
Returning
Click to fill out if first time participant
Phone Number
Please enter a valid phone number.
Position 1
Please Select
setter
middle blocker
outside
libero
Position 2
Please Select
setter
middle blocker
outside
libero
Age
numerical value only
Last Club team
eg. Eclipse 14-1
School
eg. 7th grade school team
Back
Next
Medical Waiver (parent or guardian signature)*
*
I hereby authorize the Eclipse Volleyball club staff to act for me according to their best judgment in any emergency requiring medical attention. I hereby waive and release Eclipse Volleyball club, its staff, its coaches and volunteers, from any and all liability for any injuries, illnesses or lost property incurred while at tryouts. I have no knowledge of any physical impairment that would be affected by the above named player s participation in these tryouts. My initials on this waiver also states that the named player is covered by my personal medical insurance policy. This waiver of liability expressly includes transportation to and from, or in conjunction with, said Eclipse Volleyball Club Clinics.
COVID19 Guideline
The FDA has formally approved the COVID-19 vaccine. COVID-19 vaccines are free, safe, and effective. We strongly recommend participants to receive them. We may require vaccine records in the future to enroll into long term programs.During clinics, practices, we also - strongly recommend players to wear masks- mandate players to skip practice if tested positive for COVID19 in last 10 days, or FDA recommended quarantine period.- wash/clean hands before practice.Parents, guardians, please initial below to acknowledge your understanding our our guidelines. Thanks
How did you hear about us
Please Select
Teammate/friend referral
Flyers or email ads
Google search
Social Media
Other
If friend referral, pls name
My Products
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Eclipse Pre-tryout clinic
$
50.00
Quantity
1
2
3
4
5
6
7
Item subtotal:
$
0.00
14s All 7 dates
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
15s all 5 dates
$
220.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Sessions Paid offline
If there's special circumstance or arrangement, pay directly offline https://bit.ly/3BTUuJ1
$
Free
Quantity
1
2
3
4
5
6
7
Item subtotal:
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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