RM_Stats

Player Name ^*

Player Age ^*

Age ^*

89101112

Email ^*

School District ^*

City ^*

Parent Name ^*

T-Shirt Size ^*

Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-Large

I agree ^*

• By entering my full name and submitting this form, I acknowledge that I have read and fully understand this Assumption of Risk, Waiver, and Release from Liability and understand that it relates to surrendering and releasing valuable legal rights. I do so freely and voluntarily.

I agree ^*

• I understand that I must pay the $195 before the first practice in order for my child to participate. All fees are non-refundable. Payment can be made by check made payable to "Surge Volleyball", Cash, or Venmo @SurgeVBC