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HO'OKINO VOLLEYBALL CLUB
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2025 HVC TRAINING PROGRAM
PLAYER INFORMATION
*
First Name:
*
Last Name:
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Street:
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City:
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State:
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Zip Code:
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Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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2008
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2014
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Gender:
M
F
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School:
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Grade:
2
3
4
5
6
7
8
9
10
11
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Unisex T-Shirt Size:
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
PARENT/GUARDIAN #1
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Firstname:
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Lastname:
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E-mail:
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Home Phone:
Work Phone:
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Cell Phone:
PARENT/GUARDIAN #2
Firstname:
Lastname:
*
E-mail:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
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Emergency Contact:
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Phone:
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Relationship to Player:
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Insurance Carrier:
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Policy #:
WAIVER INFORMATION
HO'OKINO VOLLEYBALL CLUB (HVC) WAIVER AND RELEASE OF LIABILITY
The parent(s)/guardian(s) listed above must read this section and click the "I/We agree with the above" box below before the member listed above is allowed to participate in this training program.
I hereby authorize the HVC staff to act for me according to their best judgment in any emergency requiring medical attention. I hereby waive and release the HVC staff, St. Andrew's Priory, Kaneohe District Park, its coaches and volunteers, from any and all liabilities for any injuries, illnesses and/or lost property incurred while participating in the training session. I have no knowledge of any physical impairment that would be affected by the above named player's participation in this activity. The player listed above is covered by the insurance plan and policy number listed in the Medical/Emergency Contact Information section above. This waiver of liability expressly includes transportation to and from, or in conjunction with, said HVC activities during FY 2025.
I/We agree with the above.
*
* indicates required fields