Littles Drop In Practice - Third Coast Volleyball

Player Information

First Name *

Last Name *

Email (only WITH Parent/Guardian’s permission)

Birth Date *

Age *

School Name *

Grade *

Club Name (if applicable)

Name of Club Coach (if applicable)

Littles Player Skill Level/Experience

Check all that apply.

Has played some sand volleyball.

Has only played indoor volleyball.

Has never played volleyball.

Has some experience playing in organized sports.

Has never played an organized sport.

Parent/Guardian Information

Parent/Guardian First Name(s) *

Parent/Guardian Last Name(s) *

Relationship to Registrant *

Parent/Guardian Phone *

Parent/Guardian Email *

Secondary Emergency Contact First Name *

Secondary Emergency Contact Last Name *

Relationship to Registrant *

Phone *

Email *

Waiver *

I confirm that I am the parent/legal guardian of the Third Coast Junior participant designated on this Skills Clinic Registration form. I willingly & knowingly release and indemnify Third Coast Juniors, Third Coast Volleyball Club, Volleyball USA, Inc., its owners, affiliates, coaches, staff, etc. from any & all liability associated with the known & inherent risks that are assumed by participating in this activity.

I agree.

Referral

If Other, please let us know how you heard about the program.

Dates

Keep me informed.

Yes, I want to know! Please inform me/us about future Third Coast Juniors activities.

LITTLES Free Practice Registration

Must submit AT LEAST 24 hours prior to requested date.

Player Information

Parent/Guardian Information

Referral

Dates