Open Gym Registration

Player Name *

First

Last

Date of Birth *//

AGE *

School *

Player Email *

Email

Confirm Email

Player Phone Number *

Parent/Guardian Name *

First

Last

Parent/Guardian Phone Number *

Parent/Guardian Email *

Email

Confirm Email

Grade as of September *

Age Group *

Season Session *

Spring Session *

Summer Session *

Fall Session *

Winter Session *

Private Lessons *

Small Group Lessons *

Payment Type *

Waiver and Release *

By checking this box, I acknowledge that I have read and understand the Waiver and Release of Liability and give the participant listed my permission to participate in all the activities for Garden State Attack Volleyball Club operating under Garden State Volleyball, LLC.

Date / Time

Date

Time