Prince of Peace Knights

Volleyball Registration Form

Prince of Peace 2008 Fall Volleyball Registration From

The Registrar must receive the four items listed below by 7/14/08 to guarantee a spot on the team. 
Registration will be considered "late" if any of these are not received by 7/14/08 and will only be accepted if spots are still available.

  1. Payment

  2. Signed Medical Release Form.

  3. Signed Code of Conduct Form

  4. Completed Online Registration

For additional volleyball program information, please click here .

 Instructions:
    *All fields with * are required
    *Complete one online form per child
     Once you submit this form, there are additional instructions you must follow to complete registration including payment instructions.

Player's Name*  
Age as of Aug 1, 2008*  
Date of Birth*  
Grade child will be in this fall*  
Gender*
Gender Male
Female
Parent/Legal Guardian*  
Address*  
City*  
State*  
Zip*  
Home Phone*  
Work Phone*  
Cell Phone*  
Email*  
Existing Medical conditions*
(or "none")		  
Assistance from Parents is needed and crucial.

I will volunteer as
Volunteer Team Mom/Dad
Head Coach
Assistant Coach
Trainer (willing to assist during practices)

A $25 late fee assessed after 7/14

NO REFUNDS
Payment by check must be received by 7/14/08 $75  League Fee
$45  Uniform (if needed)
Uniform Size- Jersey only*
Uniform    I already have a uniform I will use.
   The number on my Jersey is

IF NOT, check one of the jersey sizes below:
Youth small Jersey
Youth medium Jersey
Youth large Jersey

Adult small Jersey
Adult medium Jersey
Adult large Jersey
Shorts Size
Shorts If you checked above that you have a uniform, select none.
None

Youth small Shorts
Youth medium Shorts
Youth large Shorts

Adult small Shorts
Adult medium Shorts
Adult large Shorts
Doctor Name*  
Doctor Phone Number*  
Emergency Contact Name*  
Emergency Contact Relation*  
Emergency Phone #1*  
Emergency Phone #2  
Additional Comments  
   
By registering online and as a parent or legal guardian of the above named player, I hereby give my consent for emergency medical care as prescribed by a doctor or dentist to my dependent.  I, the parent or guardian, agree that my child and I will abide by all the rules of the Prince of Peace Volleyball Club and Toy Bowl League.  I, furthermore hereby release, discharge and/or otherwise indemnify the League and the Club against any claim by or in behalf of the registrant in result of their injury in the programs I hereby authorize.
Agreement

I Agree                I Disagree

   

   

Copyright © 2008 Prince of Peace Catholic Church. All rights reserved.
Revised: 05/05/08.