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YOUR CART
Xceleration Volleyball Club is once again offering a series of fall pre-tryout volleyball clinics that will lead up to club tryout weekend. These clinics will be led by coaches from our current staff and will combine skills drills with light competition. As with our clinics in past seasons, the sessions will be fast-paced, instructional, and structured to benefit all who attend. They are also beneficial in allowing athletes to prepare for tryouts, and for parents to learn more about the club and the specific age-group coaches.
A Paypal Transaction Number is required to complete registration. Before submitting your registration, please visit our
STORE
to make an online payment and obtain your Paypal Transaction Number.
*
Indicates required field
PLAYER INFORMATION
Paypal Transaction Number
*
Name
*
First
Last
Player Cell Number
*
Player Email
*
Birthdate (mm/dd/yyyy)
*
Age
*
Grade
*
School Attending:
*
Primary VB Position:
*
Prior VBC Membership - Name of Club(s):
*
PARENT/GUARDIAN INFORMATION
Name of Parent/Guardian
*
First
Last
Parent Cell Number
*
Parent Email
*
Have you attended an Xceleration event before?
*
Yes
No
If "No", how did you hear about our club?
*
Friend
Magazine ad
E-mail ad
Website/Facebook
Cost:
$40 per session with pre-payment and pre-registration required. Making your payment through
PayPal
and registering online highly recommended. Discounts will apply (i.e., $110 for all three sessions) if registering here and paying your fee through our online
STORE
.
$50 per session at the door. No discounts at the door.
Location:
Xceleration Sports Facility
360 Ferry Street
Martinez, CA
Please contact
Leslie Ray
if you have any questions.
Age Group Attending: Select One from Dropdown
*
12/13/14 Age Groups, 12 PM - 1:45 PM
15/16 Age Groups, 2 PM - 3:45 PM
17/18 Age Groups, 4 PM - 5:45 PM
Session(s) Attending:
All 3 Sessions
*
Oct. 13, 20 and 27
If attending selected dates only, choose below:
Single Session 1
*
Oct. 13
Single Session 2
*
Oct. 20
Single Session 3
*
Oct. 27
RELEASE: PLEASE READ AND SIGN BELOW.
The undersigned parent/guardian of the above-named Player verifies that the information set forth above is true and correct. On behalf of myself, my child, and our respective heirs, successors, and representatives, I hereby release and hold harmless Xceleration Volleyball Club LLC, and its principals, employees, agents, and representatives (hereafter jointly and severally “Xceleration”), from any and all liability in connection with any injury or damages sustained by my child or myself arising out of or relating in any way to the program stated herein, and any acts or omissions associated with these activities, even if such injury or damage is caused by the sole negligence, whether active or passive, on the part of Xceleration. I understand and affirm that I am solely responsible for medical insurance coverage for any such injury or damage, whether to myself or my child.
CANCELLATIONS:
All transactions are final. No refunds will be issued due to player cancellations or no shows after registration is submitted. However, credit may be applied towards any future Xceleration clinics, lessons, or camps.
CONFIRMATIONS:
After completing the form, hit the SUBMIT button below. You will immediately receive a pop-up notice indicating that your information has been submitted. No additional confirmation messages will be sent to your email.
Parent E-Signature
*
Date (mm/dd/yyyy)
*
Submit
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