Scarborough Synergy Volleyball

First Name (Athlete)
Last Name (Athlete)
Address
City
Province
Postal Code
Parent/Guardian - Full Name
Phone Number
Email Address
D.O.B (Month/Day/Year)
Age Group
Gender
- Male
- Female
Volleyball Experience Level
T-Shirt Size
School attended
Program (Please Select from Below)
Questions/Comments
Terms and Conditions
- Payment of cash or cheque will be collected at the first session. Cheques are made payable to Scarborough Synergy Volleyball Club.
- By checking this box, I hereby consent to my son or daughter being filmed, videotaped, audiotaped or photographed by the media (print and/or broadcast) and by employees, agents of Synergy Volleyball during activities related to the sport. I understand and agree that members of Synergy Volleyball are not responsible for any injury, damage or loss resulting from my son’s or daughter’s accident from known or unknown conditions howsoever caused. I understand the inherent risks associated with Synergy Volleyball and release Synergy Volleyball from any responsibility. I also certify that my child is medically fit to participate and I do hereby authorize Synergy Volleyballs' staff to administer any emergency medical treatment. I also understand and agree that any violation of this contract may result in the immediate termination of my son or daughter’s participation in any Synergy Volleyball program.
Complete Registration

Thank you for registering with Synergy Volleyball. If you have any further questions, please e-mail vbyoubet@msn.com

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Scarborough Synergy Volleyball Club