(ugly but it works)    the Sands Volleyball Club inc.    registrations are due April 19th  

 Volleyball Registration and Release  Legal Agreement - Please Read  I, the undersigned, release the Sands Volleyball Club, inc., its employees, officials and sponsors of all responsibility for injuries and damages to persons and property as a result of league, tournament or other activity.  I accept responsibility for the actions of any minors in my charge and their consequences.  I agree to obey all league and club rules.  I understand that failure to comply may result in suspension and forfeiture of fees.  I also state that I and all members of my team are at least twenty one years of age. Pets and Weapons are not allowed.  By law all beverages must be purchased on site.  

Team Name Date:      /      /2017
League:                                                                              Level company?
1st Choice  Day                                                    Time 2nd Choice  Day                                                    Time
3rd Choice  Day                                                    Time 4th Choice  Day                                                    Time

 

Captain or Individual  
[m] Name (print) Signature
Home Address Home Phone
City                                                                                     zip Work Phone
Assistant Captains  
[m] Name (print) Signature
Home Address Home Phone
City                                                                                     zip Work Phone
[m] Name (print)                                                              [m] Name (print) 
Signature Signature
Home Address Home Address
City                                                                                     zip City                                                                                     zip
Team Members  
[m] Name (print)                                                              [m] Name (print) 
Signature Signature
Home Address Home Address
City                                                                                      zip City                                                                                     zip
[m] Name (print)                                                              [m] Name (print) 
Signature Signature
Home Address Home Address
City                                                                                     zip City                                                                                     zip
[m] Name (print)                                                              [m] Name (print) 
Signature Signature
Home Address Home Address
City                                                                                     zip City                                                                                     zip

FEE CALCULATION:

Team Fee:                       _________________________

Membership Fees:         + __________________________  check box by your name if you are paying on this roster.  Each person must pay a Membership Fee

Subtotal                           __________________________  

Sales Tax: 6%               + __________________________  

Amount Due:                   __________________________                                  

 ALL PLAYERS MUST REGISTERED AND BE AT LEAST TWENTY ONE YEARS OF AGE TO PARTICIPATE

the Sands Volleyball Club inc.    6214 Grand Ave.  Des Moines, IA 50312