VOLLEYBALL CLINIC

SKU:

$50.00

Unavailable

WE CAN NOW ACCEPT ONLINE PAYMENTS!
REGISTRATION INSTRUCTIONS

Fill out and submit the form below
If you are registering more than one child for the same program AND/OR registering another child for a different program, complete the first step for each child.
Once all registrations have been submitted add the appropriate amount of registrations to your cart and go through the check-out process.
If you are registering 2 children use promo code: 2ndchild
If you are registering 3 or more children use promo code 3rdchild
IF YOU NEED TO FILL OUT A SCHOLARSHIP FORM OR WANT TO PAY WITH CASH/CHECK DO NOT REGISTER ONLINE! CLICK HERE FOR PRINTABLE FORMS (click on the green buttons for printable forms).

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YOUTH REGISTRATION

* Indicates required field

Program Name *

Participant's Name *

First

Last

DOB: MM/DD/YYYY *

Age as of 1/1/19 *

Current Grade (School) *

Parent/Guardian Name *

First

Last

Cell Phone Number *

Alt. Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Emergency Contact Name *

First

Last

Em. Contact Phone Number *

Child's Shirt Size *

Does your child have an illness/injury that would be aggravated by participation in this program? *

YES NO

If you checked YES above, please explain *

I hereby relieve Somerset County Recreation & Parks and Dynamic Volleyball Academy, its staff, coaches or volunteers from any responsibility for any bodily injuries, etc., that may incur by myself or child as a result of participation in this program and/or activity.
By typing my electronic signature I am also aware of the program rules and will comply to those rules, including following directions given by the staff, coach and/or official/referee. Failure to obey these rules may result in my dismissal from the program.

Please type your name for electronic signature *

Submit