Non-Travel Team Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out all information below to register for the 2011-12 Carolina One Non-travel volleyball program.

Player's Name *

Date of Birth (MM/DD/YYYY) *

USAV Age Division *

Location Option *

We plan to offer the City team program in both Pickens and Greenville, dependent upon player interest.

School Name *

School Team *

(Varsity, JV, Middle School, etc.)

Grade *

T-Shirt Size *

Past Volleyball Experience *

Home Address *

City, State *

Zip Code *

Home phone number *

Primary email address *

The email address you provide here will receive all important information regarding tryouts and club information should you decide to play for Carolina One.

Additional Email Addresses *

Please indicate who each email address belongs to (Mother's work, Father's personal, etc.)

Mother's Name *

Mother's Occupation/Employer *

Mother's Cell Phone *

Father's Name *

Father's Occupation/Employer *

Father's Cell Phone *

Name of Health Insurance Company *

Medical Conditions *

Please list any medical conditions or injuries that Carolina One staff should be aware of.

Waiver *

By checking this box, I give my permission as a parent or legal guardian for my child to participate in the above listed program. I understand that there is a risk of accident or injury in all sports training and competition, and I agree to hold Carolina One and its coaches harmless from any loss or damages arising from my child's participation in these ativities. I have listed all medical conditions which could affect my child's ability to safely participate. I have medical insurance coverage as I deem appropriate to cover her participation, and understand that Carolina One does not maintain accident insurance to cover my child's participation in these activities.

Required

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This form was created inside of Carolina One Volleyball.