SCORE Participation/Registration Form: Youth Summer Grass Volleyball

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Thank you for your response. ✨

PARTICIPANT’S INFORMATION

Category you are applying for

Team Name and Name/s of Team Mates

Participant’s Name

Participant’s Age

Participant’s Phone number

PARENT’S INFORMATION

Mother’s Name

Mother’s Phone number

Mother’s e-mail address

Mother’s address

Is this parent your primary contact person? Tick the box if yes.

Father’s name

Father’s phone number

Father’s e-mail address

Father’s address

Is this parent your primary contact person? Tick the box if yes.

EMERGENCY CONTACT PERSON

Name of emergency contact person aside from parents

Emergency contact person’s phone number

Emergency contact person’s e-mail address

Emergency contact person’s address

PAYMENT AND SUBMISSION OF PROOF OF PAYMENT

WAIVER AND RELEASE OF LIABILITY

I have read the entire waiver and release of liability document, fully understand its terms, and acknowledge that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this document freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.