BreakAway Girls’ Volleyball Club 2016-2017 Tryout Registration Form

Please bring completed form to tryouts or fax before the tryout date to 713-432-7333

Last Name: _________________ First Name: _____________

 

Mailing Address: ____________________________________

City: ______________________State: _____ Zip:  _________

Parent Phone: (   )__________ Parent Email:______________

DOB: _______ Age: ___   School: ______________________

Emergency Contact Name:____________________________

Emergency Contact Phone: ___________ T-Shirt Size: _____

Division Day Date Time
12’s (Born On or After 9/1/2004) Wednesday July 6, 2016 5:00PM-9:00PM
13’s (Born On or After 9/1/2003) Wednesday July 6, 2016 5:00PM-9:00PM
14’s (Born On or After 9/1/2002) Thursday July 7, 2016 5:00PM-9:00PM
15’s (Born On or After 9/1/2001) Thursday July 7, 2016 5:00PM-9:00PM
16’s (Born On or After 9/1/2000) Friday July 8, 2016 5:00PM-9:00PM
17’s (Born On or After 9/1/1999) Friday July 8, 2016 5:00PM-9:00PM
18’s (Born On or After 9/1/1998) Saturday July 9, 2016 10:00AM-12:00PM

 What To Bring (No Exceptions)

$50.00 Tryout Fee           Copy of U.S. Birth Certificate            $500.00 Deposit Check (include TDL #)

$75.00 Private Tryout Fee

 

(Check will ONLY be deposited if you receive an offer and accept the offer to be a part of the BreakAway Club. Deposit is non-refundable if you accept a spot in the BreakAway Club). 

Initials ________

  
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