ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
2
2021
3
Beach Volleyball @
4
5
6
SCORE BEACH VOLLEYBALL REGISTRATI0N FORM
7
8
Captain's Name:________________________________
E-Mail:__________________________________
9
Address:_____________________________________________
City/Zip:_________________________
10
Phone (H)______________________
(C)____________________________
(W)_____________________
11
12
Please circle league & season registering for:
Spring or Summer or *Fall Ball
13
(Spring/Summer leagues are 8 & Fall leagues are 6 weeks long)
*Fall Ball: Sunday - Friday
14
15
Sunday Coed 4s B/BB/BBB
Wednesday Coed 4s BB
Saturday Coed 4s Rec/C
16
Monday Coed 4s B
Thursday Coed 4s A/AA
17
Tuesday Coed 2s A/AA
Friday Coed 4s B
Drop in Play only_________
18
*Fall League: Sun Coed 4s B/BB Mon Coed 4s B Tues Coed 2s B Wed Coed 4s B Thurs Coed 4s BB Fri Coed 4s B
19
**Please read the liability waiver & phote release below and sign indicating you have read this information**
20
21
1._______________________________________________________________________________________________
22
Print Name
Signature
Email (write clearly please!)
23
2._______________________________________________________________________________________________
24
Print Name
Signature
Email (write clearly please!)
25
3._______________________________________________________________________________________________
26
Print Name
Signature
Email (write clearly please!)
27
4._______________________________________________________________________________________________
28
Print Name
Signature
Email (write clearly please!)
29
5._______________________________________________________________________________________________
30
Print Name
Signature
Email (write clearly please!)
31
6._______________________________________________________________________________________________
32
Print Name
Signature
Email (write clearly please!)
33
34
Liability & Photo Release: I understand that The Score assumes no responsibility for injuries, which I may sustain as a result of my physical condition or resulting from my participation in any athletic activities, sports programs, the use of any equipment, exercise, or other activities. I expressly acknowledge that I assume risk for any and all injuries and illness that may result from participation in these actiities. In consideration of the priviledge of joining, or using The Score courts, I hereby voluntarily release and discharge The Score, its agents, servants, and employees from any and all claims for injury, death, loss or damage that I may suffer as a result of my participation in these activities. I understand The Score is NOT responsible for personal property lost or stolen while participating or using The Score facilities or on its premises. By signing, I give permission to The Score & Affiliates to use without limitation or obligation; photographs, film footage, recordings or other media that may include myself or family members image or voice for purposes of promoting or interpreting The Score programming or services.
35
36
37
38
39
40
41
42
43
THE SCORE
44
RESTAURANT AND SPORTS BAR
45
5301 NORTHLAND DRIVE, NORTH ON THE BELTLINE JUST PAST PLAINFIELD AVE
46
616.301.0600
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100