CSA Volleyball

Player Registration

1Player Information

First Name *

Last Name *

Grade *

Date of Birth *

2Parent / Guardian Information

Parent / Guardian Full Name *

Email Address *

Phone Number *

3Emergency Contact

Emergency Contact Name *

Emergency Contact Phone *

Medical Notes / Allergies (optional)

4Consent & Acknowledgment

Participation Agreement: I, the parent or legal guardian of the player named above, give permission for my child to participate in CSA Volleyball activities. I acknowledge that participation in sports involves inherent risks of injury. I authorize CSA staff to obtain emergency medical treatment if I cannot be reached. I agree to abide by the CSA Volleyball Parent Code of Conduct and understand that violations may result in removal from program activities. I have read and agree to the CSA Volleyball Program Guide and all policies contained therein.

I agree to the participation agreement above and confirm I am the parent or legal guardian of the player named. *I consent to CSA photographing/videoing my child for program promotional use. (Optional)