Mini Dome Club
Spring 2024
For beginning volleyball players in grades 4-7.

Groups below will play at the GYM location (#250, 10 Stonehill Pl NE ). Groups no longer listed are full. Please contact info@volleydome.net to be added to the waitlist.
Player's First Name	*
Player's Last Name	*
Birthdate (mmddyy)	*
Gender	*	Female Male
Friend Requests*
*Please keep friend requests to a minimum of 3. As much as possible we will keep friends together for practice groups, but friends may still be split up sometimes for specific drills or scrimmage play if it is better for development and will give them more playing time.
Parent/Guardian Name	*
E-mail	*
E-mail (Secondary)
Home Phone	*
Alternate Phone #
Emergency Contact	*
Emergency Phone	*
Sessions Attending	*
Refunds: Minis groups include a $20 non-refundable deposit which covers payment return fees and administration. Withdrawals are accepted up until the third practice with a $10 fee for each practice that has passed. No refunds after the third practice except in the case of injury or sickness with a doctors note. In the case of closures/changes due to COVID we are no longer able to return the deposit amount ($10), but will reschedule sessions as possible or provide refunds for the remainder of practices.
Terms and Conditions The applicant understands that risk is inherent in any physical activity and agrees that the Volleydome and/or any individual connected with them will not be held responsible for any accidents or loss however caused. By registering for a session with the Volleydome I accept personal responsibility for my participation in any activities and I agree to do so at my own risk. The Volleydome will not be responsible for any loss, damage, injury or ambulance service in connection with such participation. I understand that every attempt will be made to contact the guardian or emergency contact should any emergency medical treatment or services be necessary. In the event that I or my alternate contact can not be reached, I give full consent for any licensed emergency service/medical personnel to provide treatment or service necessary to maintain the health of my child. Applicant agrees to permit the Volleydome to take photographs of your son or daughter, which may be used on our website or for promotional purposes.
Terms and Conditons	*	Yes, I agree.
Security Code	*