CSSE Volleyball Registration 2021
In order for your student to play, this form MUST be completed by:
August 6, 2021

Volleyball is open to boys and girls grades 4-8.

2021 Participation Fee - $75.00
Fee will be billed via your family FACTS incidental billing account.
Student Last Name *
Student First Name *
Student Grade *
Student Uniform Jersey Size *
Parent Name *
Guardian Type *
Parent Email *
Parent Primary Phone Number *
Do you have an interest in coaching or assisting?
Clear selection
Parent Name
Guardian Type
Parent Email
Parent Primary Phone Number
Do you have an interest in coaching or assisting?
Clear selection
St. Eugene School Release & Indemnification Agreement
The parent and/or legal guardian of student listed on this document, in consideration of the agreement by St. Eugene School allow my child to participate in the sport listed above, hereby agrees as follows:

That no claim will be made by the undersigned on behalf of myself or on behalf of my child for personal injuries or other losses sustained by my child as a result of my child's participation in the above described sport.

The parent acknowledges that my child's participation in the above described sport may reasonably be considered a dangerous activity. This Agreement is executed by the parent upon the understanding that St. Eugene School will use best efforts in the conduct of the above described sport.
Parental Agreement *
Required
Medical Emergency
In the event of an emergency, do you authorize that necessary medical attention may be given to my child in the event cannot be reached.
Parental Agreement - Medical Emergency *
Required
Parental Signature (type name) *
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