VCVC Tryout Form
(Please fill out top portion and bring to tryouts with Parent or Guardian Signature, $25 Cash or Check)
Registration includes VCVC tryout shirt
If you pre-register (before Sept 1st) please mail payment of $25 and signed form to:
VCVC
161 Plaza La Vista Suite 150
Camarillo, CA 93010
Please PRINT clearly:
Name_______________________________________Position (circle) OH MB S OPP
L
Address____________________________________________________________________
Player Cell Phone_______________________ E-mail________________________________
Age__________Birth Date_______________Height______________Weight______________
Grade__________School_______________________________________________________
Parent(s)/Guardians(s) Names(s)_________________________________________________
Home Phone__________________________Parent Cell______________________________
I hereby authorize the staff of VCVC to act for me according to their best judgement in any emergency requiring medical attention
and hereby waive and release VCVC and its staff from any liability for injuries or illness occurred while at tryouts.
______________________________ ! !
Parent or Guardian Signature! !
!
_________________________________ !
Parent or Guardian Signature! !
!
______________
Date
+++++++++++++++++++++++++++++++FOR VCVC USE ONLY+++++++++++++++++++++++++++++
Coach Name_____________________________________
COMMENTS:
PAYMENT RECEIVED: ______