Volleyball Registration 3rd-5th Grade

Athlete's Name

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Last

Please select the athlete's graduation year:

Please select the athlete's jersey size:

Athletes will be responsible for providing their own shorts.

Parent/Guardian #1:

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Last

Parent/Guardian #1 Phone:

Parent/Guardian #1 Email:

Parent/Guardian #2:

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Last

Parent/Guardian #2 Phone:

Parent/Guardian #2 Email:

In Case of Emergency (if both guardians are unavailable):

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Last

In Case of Emergency Phone (if both guardians are unavailable):

I will provide the following form before my athlete participates:

Risk Waiver Form (Every year)

Please email your completed form to blalli@gloriadeoacademy.org or turn it in to the Athletic Department office at the Golden campus. Forms can be downloaded on the GDA Athletics page: https://gloriadeoacademy.org/athletics/

Signature Guardian

Clear Signature

We acknowledge we have read the GDA Athletics Handbook and agree to comply with the policies contained in this handbook and any revisions made to it. (Can be opened through the GDA Athletics page under the Lion's Roar)

Date

Payment method:

Pay now with card (Please fill out the card information below) - $200.00

Square

Card

Name on Card

Total

$0.00