Summit Volleyball Club Teams

Athlete Information

Player First Name *

Player Last Name *

Parent Name *

Parent Phone *

Player Email Address *

Parent Email Address *

Address *

City *

Postal Code *

Date of Birth * +

Hospitalization Number *

Medical Conditions *

Previous Club Team *

Jersey Size *

Primary Position? *

Secondary Position? *

Age groups for 2021 Club Season

13 & Under

Sept 1, 2007 –Dec 31, 2008 and later

14 & Under

Sept 1, 2006 –Dec 31, 2007 and later

15 & Under

Sept 1, 2005 –Dec 31, 2006 and later

16 & Under

Sept 1, 2004 –Dec 31, 2005 and later

17 & Under

Sept 1, 2003 –Dec 31, 2004 and later

18 & Under

Sept 1, 2002 –Dec 31, 2003 and later

I would like to play on a Summit BLACK team this year

Email Consent *

By checking this box, I am providing my express consent to communicate electronically. I understand that my consent may be withdrawn at any time by emailing info@summitvolleyball.ca or by clicking the unsubscribe link at the bottom of our emails.

Liability Waiver *

By checking this box, I am acknowledging to have read the Summit Inc. Permission/Liability Waiver as posted on our website, and I am in agreement with its terms and conditions.

Photo/Video Policy *

By checking this box, I am giving permission to Summit Volleyball to take photographs or videos of my participant for promotional, website and social media use. The names of participants will not be published.

Refund Policy *

By checking this box, I acknowledge that all registration fees paid are non-refundable and will not be pro-rated should my athlete miss sessions or withdraw at a later date. The only exception to this policy is if we have to cancel due to COVID-19 public health regulations, should this be the case your fees or a portion thereof may be refunded to you.

Covid-19 Waiver *

By checking this box, I am acknowledging to have read the Summit Inc. COVID-19 Waiver as posted on our website, and I am in agreement with its terms and conditions.

Complete my registration (plus GST)! *

5%

Paypal Processing Fee (Required) *

3%

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