Player Profile Sheet

1. Tryout #:_______ Player Profile Sheet Player’s Name:________________________________JerseySize______T-shirt Size______ Last First Specify Youth or Adult sizes Interested in: ______National ______Regional ______Middle School Program _____Youth Program Date of Birth:_____/_____/_____ Age as of September 1, 2011______ Grade______ School:___________________________________ Years of Volleyball Experience________ Position(s) interested in playing: ______Outside Hitter ______Middle Blocker ______Setter ______Right-side Hitter ______Libero/DS Player Phone #s: Home:________________________ Cell:________________________ E-mails: Important – need e-mail addresses for BJVBC updates and info Parents’______________________________ Player’s_______________________________ Parent Name(s):______________________________Emergency #:____________________ Home #:____________________________ Cell #(s):________________________________ Mailing Address: __________________________________________City, ST, Zip:_______________________ Medical Insurance Provider:____________________________________________________ Known Allergies/Injuries:______________________________________________________ Parent/Guardian Permission – Must be signed before participation I/We, the parent(s)/guardian of ________________________hereby give my/our approval for her participation in any and all activities of the Brunswick Juniors Volleyball Club which my child is enrolled. I/We do hereby waive, release, absolve, indemnify, and agree to hold harmless the BJVBC, its directors, coaches, and staff. I/We grant permission for her to participate in the BJVBC and acknowledge that she is physically able to participate in volleyball activities. Signature of Parent/Guardian:______________________________Date:________________