2025 - 26 GIRLS TRYOUT REGISTRATION

Tryouts Date:   Sunday, October 19th

LOCATION: Rapid Fire Arena 225 Montauk Hwy, Moriches 

Tryout Time:  2:00 - 3:00pm

Tryout Fees ~

Grades 6 - 9: The non-refundable tryout fee of $60.00 is paid in cash at the time of check-in.

Grades 10 - 12: If you are completing this form after the August tryout please send an email to liblazevbc@gmail.com after completing the form. 

The non-refundable tryout fee of $80.00 is paid in cash at the time of check-in.


AGE GROUP - GRADE (grade is for the 25-26 school year)

Players who were Born on or Between: 

U18 - 12th Grade:  July 1st, 2007 - June 30, 2008  (or are high school students in the 12th grade or below during the current academic year and are 19 years of age or younger born on or after July 1, 2006).

U17 - 11th Grade: July 1, 2008 - June 30, 2009

U16 - 10th Grade: July 1, 2009 - June 30, 2010

U15 - 9th Grade:  July 1, 2010 - June  30, 2011

U14 - 8th Grade:  July 1, 2011 - June  30, 2012

U13 - 7th Grade:  July 1, 2012 - June  30, 2013

U12 - 6th Grade:  July 1, 2013 - June  30, 2014

Under 6th Grade: complete the form & we'll contact you via email.


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Athlete: First Name

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Athlete: Last Name

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Name of Parent and/or Guardian Completing the Form

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Athlete's Primary Address:

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Athlete's Email *
Athlete's Cell Phone# (000) 000-0000
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Athlete's Date of Birth (MM/DD/YYYY) *
Athlete's Current Age *
Athlete's Current Grade for the 25-26 school year
Tryout Date: TBD
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Athlete's Current Grade for the 25-26 school year
Tryout Date: TBD
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Athlete's Current School *

PRIMARY Position 

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SECONDARY Position

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Previous Club Experience
Explain: Number of years & Name of Club

PARENT/GUARDIAN INFORMATION

Parent #1 - First and Last Name

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Parent #1 EMAIL

Sample: example@example.com

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Parent #1 CELL PHONE 

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Parent #2 - First and Last Name
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Parent #2 EMAIL

Sample: example@example.com

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Parent #2 CELL PHONE

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Assumption of Risk and Insurance Policy Statement for participation in activities with LIVB Inc / LI Blaze VBC.

I understand and agree that the participation of my son/daughter in any activity with LIVB Inc / LI Blaze VBC is voluntary.

I further understand and agree that LIVB Inc / LI Blaze VBC is not liable for any injury, damage, or other loss which my son/daughter may cause or incur, or may cause others to incur, while using LIVB Inc / LI Blaze VBC facilities or equipment, or while participating in any camp provided by LIVB Inc / LI Blaze VBC  and/or its affiliates.

I am aware that LIVB Inc / LI Blaze VBC DOES NOT carry insurance coverage for any injury or damage that my son/daughter might cause or incur while using LIVB Inc / LI Blaze VBC equipment or facilities.

I have insurance coverage for and specifically assume responsibility for all risks, injuries, damages, or other losses that my son/daughter might cause or incur while using any LIVB Inc / LI Blaze VBC equipment and/or facilities or while participating in any program, exercise or activity at facilities used by LIVB Inc / LI Blaze VBC.

Note: Athletes/Parents who do not have this form completed by the start of the session will not be permitted to participate in any/all related activity.

I fully understand that the tryout fee does NOT guarantee my daughter a roster spot on any one of the teams.  I also understand that there is NO guaranteed or set playing time after making any one of the aforementioned teams.  The coaching staff at each event will use playing time at their discretion

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Insurance Policy Carrier

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Policy Number

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Parent/Guardian signature:

Typing your first and last name gives consent.

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DATE:

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