VCA Athlete Registration Form
Thank you for completing our annual registration form to help us be in contact with VCA athletes.
* Required
Athlete's Name
*
Your answer
Athlete's Date of Birth
*
Date of birth - please change the year to reflect year born
MM
/
DD
/
YYYY
Athlete's Academic Grade on Sept 1st of this year
*
Your answer
Where did your athlete attend school last year?
*
Your answer
Athlete's Email Address
Your answer
Athlete's Phone Number
Your answer
Parent/Guardian's Name
*
Your answer
Parent/Guardian's Email Address
*
Your answer
Parent/Guardian's Phone Number
*
Your answer
Sports of Interest
*
Football (Boys JH - HS)
Volleyball (Girls JH - HS)
Basketball Only (Boys & Girls JH - HS)
Football & Basketball (Boys JH - HS)
Volleyball & Basketball (Girls JH - HS)
Are you interested in fundraising information?
*
Yes please include me on fundraising opportunities
No thanks
Additional Info if necessary
Your answer
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