RegistrationIntramurals

Cascade Volleyball Club Intramural Program Registration Form

This league is for Girls grades 5 - 11. All participants must individually register on-line with USA Volleyball. See Below.

Prior to hitting the submit button, print the form and sign it. Then mail or deliver to 6724 2nd Ave NW, Seattle, WA 98117

with check payable to Cascade Volleyball.

ON LINE REGISTRATION FORM STARTS HERE:

Birth Date *

mm/dd/yyyy

Alternate

email address:

Best Phone Number to reach Parent/Guardian:(xxx) xxx-xxxx* in emergency.

Parent/Guardian

First Name *

Parent/Guardian

Last Name *

You can add additional phone #'s separated by commas

Which Intramural Program?

STOP! Before hitting Submit, Please Print everything above this Point (page 1 only)

Don't Forget to hit the submit button after printing

This is the end of the registration form - please print everything above this line - adjust margins to fit on one page please.

Deliver this form with check payable to Cascade Volleyball to 6724 2nd Avenue NW, Seattle, WA 98117-4831

Above form is step 1 of a 3 step process.

Step 2:

HOW TO REGISTER WITH USA VOLLEYBALL (Mandatory for all participants): Go to this website:

http://www.pugetsoundvb.org/registration/registerIndividual.htm

Select "Cascade VBC" under the drop down menu in the upper right hand corner on the second page.

Select "Junior Limited Membership (Intramural Non-tournament Player)"

Step 3.

PLEASE ALSO FILL OUT THE ATTACHED MEDICAL RELEASE WAIVER FORMS.

Bring signed copy to first day of first participation.

USA Volleyball 2010 Medical Release Form

PSR Lysted Compliance Concussion From

Cascade Permission Form for Meds and Coach Car Pools

Your payment includes a $15 USA Volleyball junior intramural league (non-tournament membership. All participants must be a member of USA Volleyball for insurance purposes. Make the check payable to Cascade Volleyball. On line registration holds your spot for 48 hours. Payment by check must be postmarked within those 48 hours. You can mail or hand deliver check to mailbox at 6724 2nd NW, Seattle 98117 or hand deliver to 500 Union Street Suite 740 or pay electronically by Paypal direct transfer to aevolleyball@comcast.net. You can not use debit cards or credit cards when using Paypal. This program will likely sell out. Make sure to register and send payment in 48 hours. We must receive the payment of 9 PM the night before the first clinic you attend to receive the pre-registered discount. Cost at the door is $50 per 3 hour session and is subject to space availability. For groups of 6, each player receives 10% discount (a coach gets to attend for free). If you do not have your group of six yet, you can sign up individually now and then recruit others to join your and we will refund the difference to each member of your group.

If using Paypal, credit and debit cards are now accepted. Go to www.paypal.com and make payment to cascadevball@comcast.net

You must add 3% to your total when paying through Paypal.

Do you want to receive A/E Volleyball

or Cascade VBC emails on our local events?

Note if you are currently a member of another USA Volleyball club other then Cascade VBC of Seattle, Puget Sound Region rules do not allow you to participate in the Cascade VBC Intramural Program but you may attend the A/E Volleyball Monday clinic series.

Individual session can be paid for at the door for $60.00 each as space allows

Note that Jan. 31st is allocated to the

Feb. group

You will receive confirmation stating: "Thank You. Your information has been submitted" If you forgot to print the form, use your browser button above to return to your completed form.

The back button below the message will take you back to a blank form page in case you need to resubmit or submit another person. If you do not receive the "Thank You ...." Message - you are not recorded and registered.

All participants must be registered with

Cascade VBC in the Puget Sound Region of USA Volleyball. Are you already 2010 member? If not - See instructions below.

All players in a group of six, receive a 10% discount. Also a coach may attend for free (and shadow the intructors) if they are associated with a group of 6. If you are a part of a group of six, please enter the name of the group or the last name of all the players in the box below. If you have paid in advance as an individual and your are able to recruit new players later, we will rebate the 10%

Or Choose Month ($150.00 per month)