vb2016

Volleyball Registration

Child First Name

Child Last Name

Child Birthday

Grade Entering For The Upcoming School Year

Did You Participate In Glen-Ed Volleyball Last Year

Yes No

T-Shirt Size

What is your child's experience level with volleyball?

Parent Information

Fathers Name

Mothers Name

Address

Home Phone Number

Primary Cell Phone

Primary Email

Confirm

Secondary Email

Confirm

Emergency Contact Name

Emergency Contact Phone Number

Payment

How do you choose to pay?

Check Credit Card (3% fee added)

Please return: email confirmation and a check for $100 ($90 for each additional child) payable to:
Glen Ed Volleyball: Doug Saye, C/O Glen Ed Volleyball, 841 Newport Bay Dr., Edwardsville, IL 62025.

How many children are you paying for?

1 Child 2 Children 3 Children