2022 S.V.H.E Volleyball Registration Form

Player's Name

First Name Last Name

Birthdate

Month Day Year

Allergies or other medical problems

Mother's Name

First Name Last Name

Father's Name

First Name Last Name

Mobile Number

Area Code Phone Number

Home Number

Area Code Phone Number

E-mail

I, the undersigned parent or guardian of above named child who is a minor, do herby authorize any coach of the S.V.H.E volleyball sports program or her designee to select hospital facilities and/or physician of her choice and authorize treatment of the above named volleyball player on an emergency basis in the event such treatment becomes necessary as a result of the participation in the S.V.H.E volleyball sports program including transportation to and from games. I hereby grant permission for her to participate in the S.V.H.E. volleyball sports program, and acknowledge the fact that she is physically able to participate in sports activities. I will be responsible for all medical bills incurred as a result of illness or accidents for which medical treatment is necessary while the above named minor is participating in sports activities, except those bills covered by insurance.

Signature

Areas in which I, as a parent, would like to volunteer to help the team effort:
(Help needed with scorebook, line judging, etc.)

Please list here:

SVHE Members -$75 (includes warm up shirt)
Non- Members- $105 (includes warm up shirt)