At the Battle Creek YMCA's Multi-Sports Complex
Games from February 21 - March 28, 2009
NAME _________________________________________________________
PHONE NUMBER (primary)____________________________(secondary) ____________________
ADDRESS _____________________________________ZIP CODE 490 ____
CIRCLE PRESENT GRADE: 3 4 5 6 7 8 9 10 11 12
BIRTH DATE (month/day/year) _______________
SCHOOL THAT YOU ATTEND __________________ CIRCLE: MALE FEMALE
QUESTION FOR 7TH AND 8TH GRADERS:
_____ check here if you played Volleyball for your junior high school
PARENTS'/GUARDIANS' NAMES _______________________________________
Email address ___________________________________________
PLEASE CHECK:
_________ Enclosed is my check for $50. You will receive 1 "WPMC Peel-It Card" that sells for $15. Selling the card (you keep the money) will make your signup fee $35 (same price as last year)
_________ Enclosed is my check for $45. You WILL NOT receive a "Peel-It Card."
or ANOTHER OPTION TO COVER THE ENTIRE SIGNUP FEE:
_________ Enclosed is my check for $90. You will receive 6 "WPMC Peel-It Cards" that sell for $15 each. By selling the "Peel-It Cards" (you keep the money) my child will play for FREE.
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 that might be able to help if an injury occurs. If you identify yourself we'll know that you might be there during the duration of your child's game. If an emergency occurs, we'll be able to contact you. If you are trained for this category, please circle your profession: Doctor, Nurse, Police Officer, Firefighter, E.M.T., or list any other category. Thanks for volunteering.
Please print out and mail this form to:
Make all checks payable to "WPMC"
Additional forms are available at the WPMC Web Site http://www.wpmc.net
Return to WPMC Volleyball.