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.
Pets and Weapons are not allowed.
By law all beverages must be purchased on site.
League:
Level:
Company: (if any)
.
first choice -
Day:
Time
second choice - Day:
Time:
.
third choice -
Day:
Time
fourth choice - Day:
Time:
.
Home Address:
Home Phone:
.
City:
Zip:
Work Phone:
Ext
.
Assistant Captains:
[
] Name (print)
Signature:
.
Home Address:
Home Phone:
.
City:
Zip:
Work Phone:
Ext
.
[
]
Name (print)
Signature:
.
Home Address:
Home Phone:
.
City:
Zip:
Work Phone:
Ext
.
Team Members
[
]
Name (print):
[
]
Name (print):
.
Signature:
Signature:
.
Home Phone:
Home Phone:
.
Home Address:
Home Address:
.
City:
Zip
City:
Zip:
.
[
]
Name (print):
[
]
Name (print):
.
Signature:
Signature:
.
Home Phone:
Home Phone:
.
Home Address:
Home Address:
.
City:
Zip
City:
Zip:
.
[
]
Name (print):
[
] Name (print):
.
Signature:
Signature:
.
Home Phone:
Home Phone:
.
Home Address:
Home Address:
.
City:
Zip
City:
Zip:
.
Team Fee:
_________________________
Membership Fees:
+ __________________________
be sure to check box by your name if you are paying on
this roster
Sales Tax: 6%
+ __________________________
Amount Due:
__________________________
#___________________________
the Sands Volleyball Club inc.