Cascade Volleyball Club Little Spikers Program Registration Form
SESSION 2: March 28 - May 23
This program is for Girls and Boys grades 2 - 4.  (Grades 5 to 8 should enroll in Boys Program or Girls Intramurals Program)
All participants must individually register on-line with USA Volleyball. See Below.

ON LINE REGISTRATION FORM STARTS HERE:
First Name *
Last Name*:
You will receive confirmation stating: "Thank You. Your information has been submitted"     If you do not receive the "Thank You ...." Message - you are not recorded and registered.          
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:
https://webpoint.usavolleyball.org/wp/memberships/join.asp?mbr_ChapterID=25979 
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)" on the second page

Step 3.
PLEASE ALSO FILL OUT THE ATTACHED MEDICAL RELEASE WAIVERS. 
Bring signed copy to first day of first participation.
USA Volleyball 2010 Medical Release Form
PSR Lysted Law Concussion Form

NOTE:  You do not need to fill out the above forms if you participated in Session 1, have already registered for USAV, and we have the above forms on file for your child.


Please include in your payment to Cascade Volleyball the $15 for one time annual 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.   Write player name and "Little Spiker" on the memo line of the check. 

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.
Birth Date *
***Must enter birthate
School Attending:
Sex *
Grade
email:address*
Alternate
email address:
Zip
Street Address:
City:
State:
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
Cost:   Total of $85 which includes the 7 week series from March 28 to May 23 at $70 plus $15 for the required annual USA Volleyball membership.   If you participated in Session 1, fee is $70 for 7 week session.
**Note one time annual USA Volleyball Membership required to attend any session for insurance purposes.
Sessions time will depend on # of participants.  Please select which session you are able to attend. Please select both times if flexible.  You will receive an email with the time of your session.
Please Check if Coming
STOP! Before hitting Submit, Please Print everything above this Point (page 1 only)
Don't Forget to hit the submit button but please only once.
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

Do you want to receive Cascade VBC or
A/E Volleyball emails on our local events?
All players in a group of six, receive a 10% discount on the series cost.  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%
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 a Cascade VBC Program but you may attend the A/E Volleyball Monday clinic series.
Select Session Times
March 28
Apr 11
Apr 18
Apr 25
May 2
May 16
May 23
2:00 PM to 3:30 PM
3:30 PM to 5:00 PM