Select a Session
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1... 10-12U
2... 13-14U
Let us know if you want us to place you on a team OR, if you know what team you will be playing on, provide team name.
Team Placement
YES, place me on a team.
I'm on a team already; my TEAM NAME is
Player First Name
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Last Name
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Player Birth Date (Month Day, Year)
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Current Age
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Grade as of September 2018
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4th
5th
6th
7th
8th
9th
10th
11th
12th
Additional Information
Parent / Guardian Contact Information
Parent / Guardian Name
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Cell Phone
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Include Area Code
E-mail Address
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Parent #2, Cell
Include Area Code
Parent #2, E-mail
Parental Release/Hold Harmless Agreement
I, the parent/guardian of the child named in this registration form, hereby give my permission for her participation in any and all activities of the volleyball league and or training. I do hereby waive, release, absolve, indemnify and forever discharge Coaches; it’s Directors, Staff, Club North Volleyball, KC Premiere Volleyball, and Faye & Don Alexander from all claims for damages, injuries, or loss to a person or property which may be sustained during participation in league activities or while at the training site whether or not damages, injury, or loss is due to negligence. I understand that participation in this league and or training program will require physical activities of a nature which could result in injury to participants. I further acknowledge that she is physically able to participate in all activities and hereby authorize her participation. I agree to allow my child to be treated by a certified athletic trainer or physician (if necessary), and to assume all costs related to such treatment.
By providing my name and date in the following spaces, I agree to the above Parental Release/Hold Harmless Agreement
First & Last Name
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Date
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Security Code
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Using either lower or upper case letters will work.
Click the Submit Button only once; do not double click.
Once you have filled out the form to your satisfaction click SUBMIT. Your info will be sent to us and you will be taken to our online payment system provided by GroundWork.