Eclipse Girls Tryout Registration
Tryout time Sat 10/26 4- 6pm Cubberley Comm Center
Player First Name
*
Player Last Name
*
Email
*
example@example.com
Tryout competition team choice
Please Select
15s
14s
Plan to attend open gym?
10/19
10/20
none
Home Phone
*
Cell Phone
*
Birthday Month
*
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
Birthday Day
*
Birthday Year
*
School
*
Grade (in fall this year)
*
Please Select
6
7
8
9
10
11
12
5
4
Height
*
Please Select
5
5-1
5-2
5-3
5-4
5-5
5-6
5-7
5-8
5-9
5-10
5-11
6-0
6-1
6-2
4-11
4-10
4-9
<=4-8
Position 1
*
Please Select
Open
Setter
Outside
Libero
Opposite
Middle Blocker
Position 2
Please Select
Open
Setter
Outside
Libero
Opposite
Middle Blocker
School team level
Please Select
none
6th grade
7th grade
8th grade
freshmen
JV
Varsity
none of above but on a school sponsored team
Last Club Name
*
Last Club team name
*
Last Club Age Level
*
Please Select
12
13
14
15
16
17
18
none
Tryout Conflict?
*
Please Select
no
yes
Eclipse Signup Form Page 2
Address
City
Zip
Need Makeup Tryout?
Please Select
N/A
yes
no
Reason for Tryout Conflict if yes
Brief Volleyball Bio (optional, < 100 words)
How did you hear about us
jersey (tshirt) size
*
Please Select
youth M
youth L
youth XL
S
Medium
Large
XL
Short video clip
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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.
Tryout + Open Gym Selections
*
prev
next
( X )
$40 tryout
Tryout fee for 8/17, 8/18 weekend.
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
pre-tryout clinic
10/20th girls 14s
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
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.
Submit
Should be Empty: