2016 Summer Training Sessions Athlete Info Sheet

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This form is the first step of the Beach VBC membership process. Once this form is completed, payment must be received to activate membership.

Athlete's Last Name *

Athlete's First Name *

Athlete's Date of Birth *

mm/dd/year

Athlete is a USA Volleyball Member? *

Current USAV Membership is Required. Club volleyball atheltes are members of USA Volleyball. Non-members will be able to purchase thier membership before trianing starts for $15.

Yes, the athlete is a member of USAV

No, the athlete agrees to purchase a USAV membership before training starts.

Contact Email for this Athlete *

Please list the email that important information regarding membership should be sent to.

Contact Phone Number for this Athlete *

Please list the best number to contact with important information about this membership.

Parent Contact First and Last Name *

Parent Contact Email

Please enter if different from above

Parent Contact Phone

Please enter if different from above

Physical Address with City, State and Zip *

xxxx Beach Lane Everett, WA 98203

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