Girls Teen Volleyball Clean indoor shoes.
Southridge Elementary
Tuesdays 6:30pm - 8:30pm November 5, 12, 13, 19, 20, 26, 27. $30.00 Registration Fee
Participant's Name Age
Address Postal Code Email Home Phone Cellphone Emergency Contact Phone Doctor’s Name Phone Any health problems/allergies? MEDICAL WAIVER: this certifies that Is in good health and is fully capable of participating. In this program. I agree that sponsoring bodies shall not be liable for any injury that may occur while participating in this program.
Parent or Guardian Electronic Signature Parent or Guardian Name Date (YYYY-MM-DD)
Payment type I will send an e-transfer payable to payment@collegeheightsca.org within 24 hours of registering for this program or forfeit my registration. If unable to use e-transfer will email Jana at  operations@collegeheightsca.org to make other payment options. |