Player:*

Phone #: *

Email: *

Age: *

School Name: *

Grade starting in Fall: *

Club Name (if applicable):

Player Level of Play: Please indicate player's level of play. Has played a lot of sand volleyball including tournaments Has played some sand volleyball Has only played indoor volleyball Has never played volleyball

Parent Name - Name(s): *

Phone #: *

Email: *

I verify I am the parent/guardian of the CBVC Participant designated on this registration form & release CBVC, Third Coast Volleyball Club, its affiliates, coaches, staff, etc from any & all liability.

Name: *

Address: *

City: *

State: *

Zip Code: *

Card Type: * Please Select MasterCard Visa

Credit Card #: * ex: 1111222233334444

CVV: * [About CVV/CVC Codes]

Expiration Date: * Month 01 - Jan 02 - Feb 03 - Mar 04 - Apr 05 - May 06 - Jun 07 - Jul 08 - Aug 09 - Sep 10 - Oct 11 - Nov 12 - Dec    Year 2010 2011 2012 2013 2014 2015 2016 2017