NVS Registration Form

Instructional ACES Clinic Registration Form October 2024

This program is for kids currently in the 3rd grade-8th grade. This is beginner program design to teach the skills of volleyball through fun drills and game like situations. No experience is required. These sessions will be closed.
Location: Grace Christian Academy 415 Roxboro Road. Hawriver, NC 27258

Program Schedule: Sundays, 5:00pm-6:30pm

Dates October 6th, 13th, 20th, 27th

Cost-$80.00 -Please have Payment by First Session

(Exact Change in Cash OR Check to Alamance Aces Volleyball Club)

**Please have your child wear comfortable athletic wear, knee pads and water bottle/drink of choice for each session.

Please Contact Coach Candice Thompson-Laney or Will Jackson if your child will not be able to attend one of the sessions or if you have any questions, comments or concerns

Contact Info

cthompson106.ct@gmail.com

919-806-7615
Athlete Information
Athlete's Name*

First NameLast Name
Birth Date*

MonthDayYear
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
Email*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number
Is the athlete prescribed an inhaler? If yes, please explain any instructions.*
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.*
PLEASE SELECT YOUR CHILD'S T-SHIRT SIZE

YOUTH SYOUTH MYOUTH LADULT SADULT MADULT LADULT XLOther
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Instructional ACES Clinic Registration Form October 2024