LC Youth Sports Volleyball League Registration
4th-6th Grade
Athlete Information
Player Name
*
First Name
Last Name
Guardian / Parents Names
*
First Name
Last Name
Current Grade Level:
*
4th Grade
5th Grade
6th Grade
Shirt Size
*
YS
YM
YL
YXL
AS
AM
AL
AXL
GIRL or BOY
*
GIRL
BOY
School District:
*
Please Select
Adna
Boistfort
Chehalis
Morton
Mossyrock
Napavine
Onalaska
Pe Ell
Rainier
Rochester
Tenino
Toledo
Toutle Lake
Whitepass
Winlock
Willapa Valley
Please select the school district that your child attends. If your child is homeschooled or does an alternative school, you MUST select the district you live in.
Interested in Volunteering?
Head Coach
Assistant Coach
Phone
*
E-mail
*
example@example.com
Emergency Contact & Health Insurance Information
Emergency Contact's Name
*
First Name
Last Name
Relationship
*
Please Select
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Babysitter/Nanny
Other
Phone Number
*
Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?
*
Yes
No
If yes, please describe
I have read and agree to ALL the above conditions
*
Yes
Signature
*
My Products
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Registration
$
45.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Submit
Submit
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