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2006 Volleyball Clinics Registration Form

This form must be submitted with a $20.00 fee per session at time of check-in.
(Cash or Check only for on-site registration. Please make check payable to Paye’s Place.)

Choose Dates
   Saturday, 10/21/2006
   Sunday 10/22/2006
   Saturday 10/28/2006
   Sunday 10/29/2006

Choose Time
   9:00am-11:00am
   11:30am-1:30pm
 

Contact Info
Name:
Birth Date:
Playing Experience
Address:
City, St, Zip:
Email:
Phone H:
Phone C:
Phone W:
School:
Grade:
Height:


We will see you at the clinics.

UNDERSTANDING OF RISK

I hereby absolve Paye's Place and its coaches from all liability which may arise as the result of my participation in the volleyball clinic, and in the event that the above named participant is a minor, I hereby give my permission for her participation as indicated and in doing so, absolve Paye's Place and its coaches from such liability.



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