Shaker Volleyball Team Roster- Tournament April 21, 2012

Location-Shaker Junior High, Start Time 8.45 AM

(Registration Deadline –  April 10, 2012)

 

Team Name:________________________________________

 

Team Representative: ____________________________________________________

 

Category ( 6s): (circle Division)

 (a) Advance Competitive (B/BB or Higher)        (b) Competitive (B level)

(c) Advance Recreational  (B or lower)              

                                                                                    Team

( Minimum-6 Players, one female mandatory)- Registration Fee $ 156  (check #……………., Date……..)

(Registration fee of $156 is for team with up to 7 players maximum ; add $10 for each additional player)

 

 

Name

Address

Phone#

E mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

General Waiver of Liability: By signing of this release by the team representative,  all named above understand that only the players listed above are allowed to play in the gymnasiums at Shaker Junior High School,  and that the North Colonie Central School District and   personnel, connected with or representing the North Colonie Central School District,  will not be responsible for injury to person or loss/or damage to property.

 

Name (Please Print): _________________             Signature: _________________                    Date_____________________

 

Mail the check (payable to North Colonie School District) and the Send Roster/Check   to  :                                   April 21st Volleyball Tourney Registration, 10 Skyline Drive, Latham, NY 12110 

We are not responsible for any lost, misplaced or late registrations.