Don Shaw’s

Volleyball Training Academy ‘09

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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CONTACT 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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HOW DID YOU HEAR ABOUT THE VTA?

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ACADEMY SESSION

(CIRCLE ONE)

I -General Skills            II - Advanced

(Grade 6-9 in Fall)           (Grade 10 & up)            

PLAYER INFORMATION

SCHOOL              CURRENT GRADE

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SCHOOL COACH EMAIL

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CLUB TEAM

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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 4911

MOUNTAIN VIEW, CA 94040

LIMITED SPACE...

SIGN UP EARLY!!!

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

COST: $250

PAYMENTS BY CHECK ONLY