Volleyball Queensland Club Release

Club Release and/or Join Application
Request a release from your existing Club and/or request membership to a new Club.

Note: The person submitting this form must be the VQ member requesting this action or the parent/guardian of the member if under 18 years.
No third party can submit this form on behalf of the member.
Today is

DayMonthYear
DateHourMinutesAM/PM Option
030412

Important: VQ can only record your registration with one and only one of it's Clubs (including "other") for representation purposes. If you wish to change your club (from a previous year's registration or in the future) you will need to complete the VQ Club Release/Join process.

Please select a club from at least one of the following two dropdowns.
Existing Club
New Club

Other
Othercode
Team Name
All Club Emails - From
All Club Emails - To
From Club Email
To Club Email
VQ's web page showing methods of contact for each VQ Affiliated Club.

Hidden separator to keep fields together
Given Name*
Preferred Given
Middle Name(s)
Family Name*
Nee
Gender*

MaleFemale
VQID*
Sexcode

Hidden separator to keep fields together
Date of Birth*

DayMonthYear
Age
Age Category
E-mail Address*

Confirmation Emailexample@example.com
Phone number*
10 digits only
Do you play in the 2024 Premier League (PVL)*

yesno
Notes

Please provide any additional information that may be relevant to this application.0/152
Please supply a photo or scan of an official
form of identification. e.g. driver's licence or
student Id. As a png, jpg, or pdf.
ID Photo

Browse Files
.png .jpg .pdf only Cancelof
ID Notes

Parent Section - Hidden separator to keep fields together
Members under 18 years Please fill in Parent/Guardian details
Parent/Guardian Name*

P/G Given NameP/G Family Name
Parent/Guardian Phone Number*
Parent/Guardian E-mail Address*

Confirmation Emailexample@example.com
Parent/Guardian Authorisation*

I agree with this transfer request.

End Parent Section - Hidden separator to keep fields together
Complete Email Address
Complete Email old field
example@example.com

Member Declaration
I declare I am the member stated as making this application or if under the age of 18 years I am the parent/guardian of the member in this application. That all the information I have provided is complete and correct and submit this application in good faith.

Member Declaration*

I agree to the above declaration.

Summary of Input
From Club	Name	Age	Phone
{existingClub}	{givenName} {familyName}	{age}	{phoneNum}
To Club	Your Email(s)
{newClub}	{completeEmail134}

Blank
office use only
Please verify that you are human*
After clicking Submit, please wait for the Thank You page

Submit Section
DBemail
example@example.com
Should be Empty:

Club Release and/or Join Application

Warning - New Club is the same as Existing Club.
Not Logical

Members under 18 years Please fill in Parent/Guardian details

Club Release and/or Join Application

Warning - New Club is the same as Existing Club. Not Logical

Members under 18 years Please fill in Parent/Guardian details

Warning - New Club is the same as Existing Club.
Not Logical