2010 Volleyball Season Registration Form

Please fill out the form prior to the first day of play. Print out the confirmation page and bring it with you to volleyball.

* - Denotes required information.

Payments are now being accepted online.

First Name*
Last Name*
Address 1*
Address 2
City*
State*
Zip Code*
Preferred Phone Number* (e.g., 617-123-4567)
E-Mail*
Email Subscription
(You will receive CBVA email announcements, unless you select "No")



Emergency Contact Name
Emergency Contact Number (e.g., 617-123-4567)
Highest Level of Play*







Specialized Position(s)
(Please tell us how comfortable you are playing in the following specialized positions.)
Setter Middle






Bring it on!!!





Sure...ok!



NAGVA Rating









Insurance Purchase*
(Purchase of insurance is required. Which of the following do you plan to purchase?)		 $20 Volleyball Fee -- includes $10 membership fee plus $10 sports insurance fee.

$10 Guest Fee -- to be paid for each session of volleyball.

more info

For New Players:
How did you learn about CBVA?

For Current Players:
How long have you been playing with CBVA? year(s)


Print the confirmation page and bring it with you.