volleyball tournament form

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Legal Agreement - Please Read Volleyball Tournament Registration and Release

I, the undersigned, release the Sands Volleyball Club, inc., its employees, officials and sponsors of all responsibility for injuries and damages to persons and property as a result of league, tournament or other activity. I accept responsibility for the actions of any minors in my charge and their consequences. I agree to obey all league and club rules. I understand that failure to comply may result in suspension and forfeiture of fees. I also state that I and all members of my team are at least twenty one years of age.

Team name:		date submitted:
Tournament Name:	level: A B REC	company?

Captains:

Name	signature
address	city	zip
home phone	work phone
Name	signature
address	city	zip
home phone	work phone
Name	signature
address	city	zip
home phone	work phone

Team Members:

Name	signature
address	city	zip
home phone	amount paid
Name	signature
address	city	zip
home phone	amount paid
Name	signature
address	city	zip
home phone	amount paid
Name	signature
address	city	zip
home phone	amount paid
Name	signature
address	city	zip
home phone	amount paid
Name	signature
address	city	zip
home phone	amount paid
Name	signature
address	city	zip
home phone	amount paid
Name	signature
address	city	zip
home phone	amount paid
Name	signature
address	city	zip
home phone	amount paid
Name	signature
address	city	zip
home phone	amount paid

note:	all fees are due with your registration form
Team Fee
Additional Fees
Amount Due
check number

Make Check Payable to: DMCVC (Des Moines Coed Volleyball Club)

Mail entries to: Jana Van Der Kamp; 801 NW Greenwood Street; Ankeny, IA 50023

all players must be registered and be at least 21 years of age to participate

the Sands Volleyball Club inc. 6214 Grand Ave. Des Moines, IA 50312 Phone: (515) 255-9004

Dig n Dye information needed:

Captain:______________________________ Shirt Size:__________

Captain's email address:_________________________@_________

Player:_______________________________ Shirt Size:__________

number of Meal Tickets Needed:_____________x $1=____________

number 2XL Shirts:________________________x $2=____________

number EXTRA Shirts: ____________________x $5=____________