Don Shaw’s

Volleyball Training Academy ‘08

Registration

PLEASE PRINT CLEARLY

NAME

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ADDRESS

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CITY               ZIP

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PHONE#

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EMAIL

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DATE OF BIRTH

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EMERGENCY CONTACT

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RELATION TO PLAYER - PHONE #

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ACADEMY SESSION

(CIRCLE ONE)

I (12-14)        II (15-17)       

PLAYER INFORMATION

SCHOOL              CURRENT GRADE

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SCHOOL COACH EMAIL

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CLUB

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CLUB COACH EMAIL

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POSITION                                HEIGHT

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ADULT T-SHIRT SIZE

S     M     L     XL

MAIL THIS FORM AND MAKE

CHECKS PAYABLE TO:

DSSPORTS, LLC

P.O. BOX 1272

MENLO PARK, CA 94026

LIMITED SPACE...

SIGN UP EARLY!!!

PRINT, DETACH, MAIL TOP AND KEEP LOWER PORTION FOR FUTURE REFERENCE

COST: $250

PAYMENTS BY CHECK ONLY