Volleyball BC Membership Registration Form
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Volleyball BC Membership Registration Form
Personal Information Last Name First Name
Date of Birth (dd/mm/yyyy) Gender Male Female
Height (cm) (cm) Uniform # Position Leftside Rightside Middle Setter Libero Mailing Address City Province Postal Code Phone (w) Phone (h) Phone (c) Athlete Email Parent Email
Membership Category Athlete Coach Check One Official Other Head Coach Assistant Coach (IT=in training / T=trained / C=certified) 13U Level 1 IT T C Local Club Contact 14U Level 2 IT T C Provincial Team Contact 15U Level 3 IT T C Regional Team Manager 16U Level 4 IT T C National Team Staff 17U Level 5 IT T C International 18U
Important Notes: Prior to registering online please ensure that all athletes, club and team staff have filled in and signed the Volleyball BC Membership Registration Form. Clubs and Teams will be required to keep all registration/waiver forms on file in case they are requested by Volleyball BC. Please DO NOT send cheques and forms to Volleyball BC - all registrations are online only at www.volleyballbc.ca. All athletes under the age of 18 will be required to have a parent or guardian sign the registration/waiver form. An athlete is deemed registered with the club once the Membership Waiver Form and/or a portion of club fees have been paid. Note that tryout fees are not considered a portion of club fees.
Waiver & Indemnification: Upon acceptance as a member of Volleyball BC (VBC) I agree to abide by the rules and procedures of the VBC as approved through the By-Laws, Rules and Regulations of VBC. As a member of VBC I shall uphold the high standards of VBC and shall never do anything to damage the reputation of VBC. I understand and agree that VBC and/or any of its officials, affiliates or sponsors are not responsible for any injury, damage or loss resulting from any accident from known or unknown conditions howsoever caused. I also understand and agree that any violation of this contract may result in the immediate termination of my membership.
Privacy Policy: By providing Volleyball BC with your personal information on this membership form and the on-line registration system you are giving consent to Volleyball BC to collect and use your personal information for the purposes as set out in the Volleyball BC Privacy Policy.
Applicant Signature and Date
VOLLEYBALL BC – www.volleyballbc.org – 2013 Club Appendix Parent/Guardian’s Signature and Date (if applicable is under the age of 18)
VOLLEYBALL BC – www.volleyballbc.org – 2013 Club Appendix