South Shore Juniors: Camps/Sessions

REGISTRATION FORM
If you prefer that we e-mail you a registrartion form, please send your request to southshorejrs@sbcglobal.net    
 
Please print out the following registration form: 
Mail to: P.O. Box 372 League City, TX 77574
Make checks payable to: SSJR

SUNDAY SESSSION & TRYOUT REGISTRATION FORM

Name:  __________________________________________       Age:   ______            Grade: _________ Address: _______________________________________City: __________     State ____________ 
Zip Code _______________  Email:      ____________________________
T-Shirt Size: (circle):    Youth:      S          M         LG       XL         Adult: S          M         L          XL
Position(s) (circle):       OH       M         RS        S          DS       LIB
Years of school experience ________                   Years of club experience ________
Names of last 2 club teams played for (please indicate club/team/coach):
1.      __________________________________________________________________________
2.      __________________________________________________________________________
Parent Name:   _______________________________Phone: (W ) _________________________
H ( ) ______________________________________ Email:  _____________________________ 
Waiver of Liability
The undersigned player and parent/guardian agrees that SOUTH SHORE JUNIORS/SSJR, USAV, USAV LONE STAR REGION, owners, employees and staff members shall not be liable for the damages arising from personal injury sustained by the member and/or guest (s), on or about the premises of the said facilities or by participation in events with SOUTH SHORE JUNIORS Volleyball Club.  We understand that volleyball by nature is a physical activity and have a full understanding of the potential risks including potential death, serious injury, or property damage and ASSUME THE RISKS OF PARTICIPATING IN A VOLLEYBALL CAMP.  I acknowledge that I hereby take the following action for myself and do not hold the club, its administrators, and coaches responsible for any injury occurred while participating in any club activity. I WAIVE, RELEASE, AND DISCHARGE from any and all claims or liabilities for death or personal injury or damages of any kind which arise out of or relate to my traveling to and from or my participation in any volleyball activity, I AGREE NOT TO SUE any of the persons or entities listed above for any of the claims or liabilities that I have waived, released or discharged herein. I INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions. I also agree that if any portion of this agreement is found none binding that all other portions will still be in effect. Understanding the stipulations and having discussed these with our daughter, we agree to and will support her participation in SOUTH SHORE JUNIORS Volleyball Club. 

PARENT SIGNATURE _____________________________________        DATE ______________ ______Tryouts:  $50   Age:_______   Date of Birth:_____________________________________

______Sunday Skill Sessions: ($30/each)       

If you have any questions, please contact:
Barbara Cervantes, Director at vbc1710@aol.com
Greg Quinn, Assistant Director at southshorejrs@sbcglobal.net


Learn From A Proven Club!!
Some of the Best Coaches in the Sport!!!!