Volleyball Form

Please Note: Once you click Submit and Pay you CANNOT go back and make changes.

Child's First and Last Name

Grade

Gender

Grade

Gender

Child's First and Last Name

Grade

Gender

Mother's First and Last Name

Mother's Phone Number

Mother's Email

Father's First and Last Name

Father's Phone Number

Father's Email

Willing to coach?

Yes

Name of parent willing to coach

I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the Catholic Grade School Athletic Association (CGSAA) and Christ the King Catholic School (CK). Recognizing the possibility of physical injury associated with volleyball and in consideration of CGSAA and CK accepting the registration of the registrant, I hereby release, discharge and/or otherwise indemnify CGSAA and CK, against any claims by or on behalf of the registrant as a result of the registrant's participation in the Program.

In the event that I, as the parent of legal guardian of the above named player(s), are not present when an injury or other medical emergency occurs, I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent.

Parent/Guardian E-Signiture consenting to statements above.

Thanks for submitting the Volleyball Form!

Welcome To

Christ The King School

Welcome To

Christ The King School

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Volleyball Form

Volleyball Form