BASKETBALL VOLLEYBALL REGISTER MAY 1-31 Registration Fee: $35.00

ONLINE • BY MAIL • IN PERSON https://nashcounty.recdesk.com/community

Learn the fundamentals of basketball Volleyball is a popular competitive sport during practices. Games will give a small that can be played by players of all ages. dose of competitiveness, and a large The spiking, passing, blocking and setting dose of fun! We encourage our coaches of volleyball uses almost every major and officials to help the children learn muscle group of the body. Our coaches about the game of basketball and the will take players through a variety of game of life! Practices begin in June and drills (bumping, setting, spiking, serving, the season runs July—August. blocking, etc.), and provide valuable strategic knowledge. Ages Age Groups 9-12 years old 10-12 year olds (as of June. 1, 2017) 13-15 year olds (as of Sept. 1, 2017) Basketball Location Volleyball Location Spring Hope Elementary School Nash Central Middle School 401 McLean St. 1638 S. 1st St. Spring Hope, NC 27882 Nashville, NC 27856

FOR MORE INFORMATION PLEASE CONTACT NASH COUNTY RECREATION & SENIOR SERVICES 120 W. Washington Street, Nashville, NC 27856 MAIN OFFICE AT (252) 462-2628 ATHLETIC/ACTIVITY PARTICIPATION FORM NASH COUNTY RECREATION & SENIOR SERVICES

Sport/Activity: ______Date of Birth: ______Shirt Size YS YM YL

AS AM AL AXL Name of Participant: ______

Address of Participant: ______

______City/Town State Zip Code Email Address

Age: ______Gender: M ____ F ____ Has Individual Participated in Above Sport/Activity? Yes ___ No___

Parent/Guardian: ______Phone: Primary______Secondary ______

Parent/Guardian:______Phone: Primary______Secondary ______

* If your child requires any special accommodations, please contact our main office at (252) 462-2628. RELEASE AND CONDUCT STATEMENT

I hereby give my child permission to participate in the sport/event listed above. I know that with any sport there is possibility of serious inju- ries. I, therefore, will assume all responsibilities for any accident or injury that may occur and hold Nash County harmless for such accident or injury. I understand that any athletic or other type of equipment issued to him/her belongs to the Recreation Department and that he/she is responsible for it. When he/she stops participating in said event, I will see that he/she returns any and all equipment. I also understand fully that the Recreation Department will not tolerate unsportsmanlike behavior of any kind. I agree that any such behavior, such as cursing and/or yelling at officials/coaches, staff etc., will result in suspension from the Department’s activities for me and/or my child. PHOTO RELEASE STATEMENT

Pictures or video clips will be taken while participating in Nash County Parks & Recreation programs. Contact our main office at (252) 462- 2628 if you have questions or concerns regarding this statement. REFUND AND RETURNED CHECK POLICY

100% refund/credit/transfer if Department cancels program or facility rental. 100% fee transfer to another P&R program within the same calendar year. NO REFUND if participant’s request falls after registration ends. There is a $25 fee for all checks returned.

Signed ______Date ______

(Signature of Parent or Guardian)

Nash County Recreation & Senior Services Main Office number: (252) 462-2628 DROPPED OFF OR MAILED TO: Nash County Recreation & Senior Services • 120 W Washington Street, Suite 3040 • Nashville, NC 27856

Coaching Volunteer: Yes _____ No _____

OFFICE USE ONLY Payment Method: ______Amount: ______Receipt Number: ______