Mighty Mites Session 1 Registration 2020
This registration form is for all athletes signing up for the 6:15-7:25pm session. It is recommended that athletes in this session are currently in Grades 4 - 6. If you do not fall into this age category, please email winmanvball@gmail.com for direction.
Email address *
Athlete's First Name *
Your answer
Athlete's Last Name *
Your answer
Parent/Guardian #1 First Name *
Your answer
Parent/Guardian #1 Last Name *
Your answer
Parent/Guardian #1 Email *
Your answer
Parent/Guardian #1's Cel Phone # *
Your answer
Parent/Guardian #2 First Name
Your answer
Parent/Guardian #2 Last Name
Your answer
Parent/Guardian #2 Email
Your answer
Parent/Guardian #2 Phone
Your answer
Athlete's Home Address (Include City, Prov, Postal Code) *
Your answer
Gender *
Your answer
Athlete Date of Birth *
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YYYY
Current Grade Level *
Athlete's School *
Your answer
Preferred T Shirt Size *
Allergies/Medical Concerns *
Your answer
Emergency Contact Name (If Parents/Guardian cannot be reached) *
Your answer
Emergency Contact Person's Phone # *
Your answer
WAIVER: I hereby register my child for a WinMan Volleyball Sponsored Camp and authorize the staff to direct him/her in participation of camp activities. I know of no mental or physical problems which may affect her ability to safely participate in this camp. I authorize the camp staff to attend to any health problem or injury to my child that may occur while attending camp. I hereby release and hold harmless any WinMan Volleyball camp, its employees, agents, and staff from any liability that may arise from my child’s participation in camp. I acknowledge that I am responsible for any and all medical expenses, due to my child’s illness or any injuries that occur at camp. I agree that WinMan Volleyball Club retains the right to use photographs taken of members at the volleyball camp for publicity and advertising purposes only. * *
I am aware of the refund and cancellation policy. (Full refund less $35 transaction fee if cancellation prior to Dec 31st, 2019. After Dec 31, there are no refunds) I also understand that my registration is not complete until payment has been received. Payment Option 1: e-transfer $135 to winmanvball@gmail.com and note the name of the athlete and the session. Payment Option #2: Mail a cheque to "WinMan Volleyball Club, 54 McMullen Cres. Winnipeg, MB R2C 3W9 *
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A copy of your responses will be emailed to the address you provided.
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