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#IMPACT Volleyball TX Club Tryout Form
Club Tryout Registration
First Name
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Last Name
*
Address
*
Address 2
City
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Date of Birth:
*
State/Province
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Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Zip/Postal Code
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Phone
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Forms of Payment: $50 per Player
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Zelle: 502-377-8680
CashApp: $impactvbtx
Venmo: @impactvbtx
Email Address
*
Preferred way to contact
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Phone
Email
Any
Age Level (USA Volleyball cutoff date is July 1st. Example: if you are 12 years on June 30th, you will play in 13u)
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12u
13u
14u
15u
Select Tryout Date and Time. ***Spike Sport is a temporary location; for try-outs only***
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July 26th 9a - 12pm (12u and 13u) Spike Sport
July 26th 1:30p - 4:30pm (14u and 15u) Spike Sport
August 1st 9a - 12pm (12u and 13u) Spike Sport
August 1st 1:30p - 4:30pm (14u and 15u) Spike Sport
August 19th 5:30-6:30pm (14u-16u) Spike Sport
Liability Waiver: Release
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My child has permission to participate in the aforementioned #IMPACT Volleyball Club Tryout. In consideration of acceptance of my child being permitted to take part in the #IMPACT Volleyball Club Tryout, I agree, both personally and on behalf of my child or charge, to save harmless and keep indemnified Spike Sport, #IMPACT Athletics Academy LLC, #IMPACT Volleyball TX, its instructors, organizers, and agents from and against all claims, actions, costs, expenses, and demands. It is understood and agreed that this release is binding on my child or charge, myself, my heir, my executor, and assigns. This is a release from all liability.
Please sign
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