Academy Registration and Consent Form
This is an information gathering tool for the Elite Volleyball Academy
Email address *
Athlete's First and Last Name *
Your answer
Gender *
What is your birthdate? *
MM
/
DD
/
YYYY
Phone number
Your answer
Player Address
Your answer
City/Hometown
Your answer
Province
Your answer
Postal Code
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Email Address *
Your answer
Parent/Guardian Birthdate *
MM
/
DD
/
YYYY
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Address *
Your answer
Parent/Guardian City *
Your answer
Parent/Guardian Province *
Your answer
Parent/Guardian Postal Code *
Your answer
Second Parent/Guardian First Name
Your answer
Second Parent/Guardian Last Name
Your answer
Second Parent/Guardian Email Address
Your answer
Second Parent/Guardian Birthdate
MM
/
DD
/
YYYY
Second Parent/Guardian Phone Number
Your answer
Second Parent/Guardian Address
Your answer
Second Parent/Guardian City
Your answer
Second Parent/Guardian Province
Your answer
Second Parent/Guardian Postal Code
Your answer
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