2017-2018 Potential VC Player Registration
Thank you for your interest in playing club volleyball with Potential VC for the 2017-2018 season. Our coaches are excited to get started and we are all looking forward to another year of working hard and having fun! Please fill in all information on this registration form. Upon submission of this form, you will be registered. Payments can be made via email money transfer to info@potentialvolleyball.com, or with credit card using PayPal. Please note, there will be an additional fee if paying by PayPal, to offset their fees. Links for payment can be found on our website. Please note, for the 15U and 17U teams, payments should not be made until after teams have been selected.
Which team/program, are you registering for? *
Athlete Information
Last Name *
Your answer
First Name *
Your answer
Date of Birth (NOTE: please be sure to change the year to the correct birth year of your daughter.) *
MM
/
DD
/
YYYY
Current Age *
Your answer
Email
Your answer
Phone Number
Your answer
What school does the athlete attend? *
Your answer
Parent/Guardian Information
Name *
Your answer
Email *
Your answer
Phone *
Your answer
Parent/Guardian Information (Additional Contact)
Name
Your answer
Email
Your answer
Phone
Your answer
Medical Information
Please let us know any medical information that coaches should be made aware of for your daughter.
Your answer
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