Tryout Registration Form

Maryland Juniors Volleyball Club Attach a recent head Tryout Registration Form photo 2016-2017 Season Tryout Date: 11/5 & 6: 11, 12 & 13 under 11/12 &13 14-18 under All players must register on line for tryout at www.mdjrs.org Check tryout date and time at www.mdjrs.org Please mail this form by Oct. 24 for 11, 12 & 13 under teams & Nov. 4 for 14-18 under teams to: MDJRS VBC 14105 Punch Street, Silver Spring, MD 20906 You also can drop the form at MDJRS Sports Center (8221 Preston Ct. Jessup, MD 20794) before tryout. Fee: $50 by mail (make check payable to MDJRS VBC) or pay online by credit card (no extra fee) at www.mdjrs.org $60 at the door on the day for tryout (cash only) The tryout fee is not refundable for any reasons and the form won’t be returned to either the player or her parents. Must register the USAV 201 6 individual membership online prior to tryout. The online registration is available at www.chrva.org. A player may not be older than age group prior to September 1, 2017. Tryout Location: MDJRS Sports Center 8221 Preston Ct. Jessup, MD 20794 Please attach a recent head photo with the application form Name: Date of Birth: USVA Membership Number:

MDJRS VBC Summer Programs (list the programs): Height: Position:

Team for tryout: 11 12 13 14 15 16 17 18 School & Club Grade:

Elite Open Regional Parents Name & Email: Home Phone: Parents cell:

Waiver: I hereby, for myself, my heirs, personal representatives and executors, waive, release, and forever discharge any and all rights and claims for loss or damages which may have or may hereafter accrue to me against the organizers and sponsors of representatives, for any and all injuries which may be suffered by me in the event. I attest and verify that I am physically fit to engage in this activity.

Player Signature: Parents & Legal Guardian Signature:

Date: Date: The below is for club staff only Evaluation Coach Name: Tryout Number: Tryout Fee Payment: Evaluation (total 100 point):

1. Fundamentals (30 points): 2. Game play (30 points): 3. Physical Ability (30 points): 4. MDJRS Summer Program (10 points):

Total Points: