Hempfield Youth Volleyball Spring 2001

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Registration: Buchanan Gym Lobby

Feb. 28^th 6:30-8:00 pm

March 1st 6:30-8:00 pm

Cost: $25.00 per player, includes awards and shirt

Eligible Players: Hempfield Students Grades 6--12 (Boys & Girls)

Playing time and Team placement depends on ability:

One hour (6:15--9:30) either Monday or Wednesday night.

Evaluations: March 5th Tentative 6:30--8:30

Season: Tentative March 12—May 2, 2001

Contact: Bill Walsh 898-1868 or Mike Vogel 898-2833

Please make check payable to " Hempfield Youth Association" for $25.00

-----------------------------------------Cut or copy and return---------------------------------------

Hempfield Youth Volleyball Spring 2001

Name ____________________________ Age _____Grade: 6 7 8 9 10 11 12 / M F

Address___________________City________________State_____ Zip ____________

Home Phone # _________________________ Emergency _______________________

Waiver: I waiver and release any and all rights and claims for injuries and liabilities I have against the Hempfield Youth Association and the Hempfield School District. I certify that the child is in excellent health and authorize transport for emergency medical care if necessary.

Parents Signature________________________________________Date______________

Shirt Size: Large______ XL_______ Medium______

Beginner (B)_____ Intermediate (BB)______ Advanced (A)______(AA) _______ Grade______ M / F

Special Requests__________________________________________________________

Misc.___________________________________________________________________

Volunteers Needed_________________________________ Mon., Tues., Wednesday

Check #_________ Amount_________