Youth Volleyball

The Fort Scott Recreation Volleyball program is now being organized for students in the 3rd & 4th and 5th & 6th grades.  Players may register by bringing the form printed below and a $10 registration fee to the Buck Run Community Center before Friday, August 2 7.  (after August 2 7th - $20.00) Team shirts purchased for this program are included in this fee.  Games will be played on Saturday mornings at BRCC.  The first match is scheduled for September 1 8.

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200 4 Recreation Volleyball Registration Form

Name __________________________________________Address_______________________________________________

Age _______ Birthdate ____________________ Grade ________             (Please Circle)         Boy or Girl

Parent (s) Name ______________________________ Day Phone __________________ Home Phone___________________

Shirt size  (circle one )                          Youth        S          M          L                              Adult         S        M        L

Do you have a sibling that will play in the same league?  Yes or No           If yes, Who?__________________________________

No other request such as carpooling, friend or cousin will be accepted!

Would you like to be considered as a coach?_____, assistant coach?_____ or coach if needed?_____ (Please Check)

If so, please list daytime phone number ______________________________________________

Checking this form will not guarantee a coaching position. 

Please list any medical concerns that the FSRC and/or coach should be aware of? ____________________________________

_____________________________________________________________________________________________________

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Parental Consent Form (VOLLEYBALL 200 4)

The undersigned parent(s) of ___________________________________, a minor in consideration of his/her being permitted to participate in the Fort Scott Recreation program, do hereby freely and voluntarily give my (our) consent of such participation and hereby release Fort Scott Recreation, Inc., its directors, officers, employees, agents, any sponsors, organizers, or coaches from any and all claims or rights of action, which the undersigned or the said child may have or ever may have as a result of any act of omission of any such persons or Fort Scott Recreation, Inc.  The undersigned recognizes that the child will be engaged in a sporting activity and that there are certain risks involved in such an activity, including the risk of personal injury, and the undersigned assumes the risk thereof.

Parent/Guardian Signature_____________________________________________ Date______________________________