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St. Catherine of Siena Athletics
St. Catherine of Siena Athletics
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SCS Fall Volleyball Registration for Girls - Grade 5-8
PLAYER INFORMATION
*
First Name:
*
Last Name:
Street:
City:
State:
Zip Code:
*
Birthdate:
Jan
Feb
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Gender:
F
Grade your Daughter will be in September:
4
5
6
7
8
Player Shirt Size:
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 2X Large
PARENT/GUARDIAN #1
*
First Name:
*
Last Name:
*
EMail:
Home Phone:
Work Phone:
Cell Phone:
PARENT/GUARDIAN #2
First Name:
Last Name:
Email:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY INFORMATION
*** PRIMARY CONTACT ***
*
Emergency Contact:
*
Contact Phone:
*
Relationship to Player:
*** SECONDARY CONTACT ***
Emergency Contact:
Contact Phone:
Relationship to player:
Family Physician:
Family Physician Phone Number:
List any allergy or conditions the coaches need to be award of::
MEDICAL WAIVER INFORMATION
The coaching staff has my permission to apply ice and a bandage to an abrasion as needed.
I/we agree with the above
I/we do not agree with the above
By submitting your payment, you are granting permission for your child to participate in the SCS Volleyball Program. Additionally, please be aware that once the season begins, no refunds will be issued
* indicates required fields
$125 Registration Fee($125)