At the Battle Creek YMCA's Multi-Sports Complex
Games from February 22 - March 25, 2020
NAME _________________________________________________________
PHONE (primary)________________________(secondary) _______________________
ADDRESS _____________________________________ZIP CODE 490 ____
CIRCLE PRESENT GRADE: 3 4 5 6 7 8
BIRTH DATE (month/day/year) _______________
SCHOOL THAT YOU ATTEND __________________ CIRCLE: MALE FEMALE
PARENTS'/GUARDIANS' NAMES _______________________________________
Email address ___________________________________________
PLEASE CHECK:
_________ Enclosed is my check or money order for $55.
PARENTS' CHECK LIST:
_________ COACH (for my child's team)
_________ ASSISTANT (for my child's team)
_________ CONCESSION WORKER (one time only)
_________ MEDICAL PERSONNEL - Although rarely needed, it's nice to know that there's someone in the stands available to help if an injury occurs. If you identify yourself and an emergency occurs, we may contact you. Please circle your profession: Doctor, Nurse, Police Officer, Firefighter, E.M.T., or list any other category.
Please print out this form, make checks ($55) payable to "WPMC" and mail to:
Return to WPMC Volleyball