Volleyball

Athlete's Name:

Date of BIrth

Address:

Years of Experience & Position:

Name of last years team:

T-shirt size:

Please list any health or medical problems (allergies, medications, etc.) of which your child's coach may need to be aware of:

If you are interested in participating as a volunteer for your child's team, please complete the following:

Coach

Assistant Coach

Not Interested

Name:

Phone:

Address:

Parental Authorization and Medical Release

By checking, I parent or guardian of the child whose name is listed on this registration form hereby gives approval for his/her participation in The Boys & Girls Club of Magnolia Volleyball. I know that even under well supervised, normal play that injuries may occur, and do assume all risks and hazards incidental to such participation; including transportation to and from all activities. I do hereby waive, release, absolve, and indemnify and agree to hold harmless The Boys & Girls Club of Magnolia, Inc., its board of directors and officers, its staff, the league organizers, sponsors, supervisors, participants, and persons transporting the child to and from activities, for any claim arising out of injury of the child, except to the extent and in the amount covered by accident and/or liability insurance held by The Boys & Girls Club of Magnolia, Inc.

I also grant permission to managing and or coaching personnel or other league representatives to authorize and obtain medical aid and treatment from any licensed physician, hospital, or medical clinic including major surgery, deemed necessary by a duly licensed physician, should the child become ill or injured while participating in Boys & Girls Club activities, at times when neither parent/guardian is available to grant authorization for emergency treatment.

The largest area of growth in tobacco use is among small children.

In an effort to address this problem The Boys & Girls Club of Magnolia is a tobacco free zone.

So, since the 1996 baseball/softball season smoking, dipping, or chewing tobacco has not been allowed on the grounds. This includes staff, officials, coaches, players, parents, and spectators.

We hope everyone understands our goals and will help us to provide a tobacco free environment for our children.

Name and phone number of parent/guardian submitting this registration form, parental authorization, and medical release:

Parent E-mail Address

Volleyball Registration

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