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Volleyball Registration Form - K-6th Grade
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* Indicates required question
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Grade
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Required
Age
*
5
6
7
8
9
10
11
12
13
14
Required
Classroom Teacher
*
Your answer
Site Student Attends
*
Dilworth
Glyndon
Other:
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Required
Date of Birth (MM/DD/YYYY)
*
Your answer
Parent/Guardian Name
*
Your answer
Home Phone Number (XXX-XXX-XXXX) If Not Applicable, N/A
*
Your answer
Parent/Guardian Cell Phone Number (XXX-XXX-XXXX) If Not Applicable, N/A
*
Your answer
Mailing Address
*
Your answer
City, State, Zip
*
Your answer
Parent/Guardian Email
*
Your answer
How will fees be paid?
*
SchoolPay
Cash
Check
Tuition Assistance Requested (Review the guideline on our Community Ed webpage)
If requesting a tuition assistance, we will notify you if you qualify. Balance is due within one week of being notified of balance due.
*
Your answer
I give/do not give permission for photos or videotapes of my child to be reproduced for DGF promotional or educational purposes.
*
Yes, I give permission
No, I do not give permission
WAIVER
*
I, the undersigned, parent/guardian of the above name child assume responsibility in case of accidents, injury or lost or damaged personal items during the program’s duration.
I agree
Required
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