EmailMe Form - Pure Aloha Volleyball Club's-WINTER BASH '19 (AD)

Pure Aloha Volleyball Club

Pure Aloha Volleyball Club's-WINTER BASH '19 (AD)

Adults Division
(Men's B, A, AA and Women's B, A, AA)
Team Captain Registration Form

When: Friday, Dec 20 (as early as 5pm) to Sunday, Dec 22, 2019
Where: Various Locations (to be announced)
Cost breakdown below:
$120/team for Adult Division (+$4.50 Paypal fee)

Deadline to enter: November 30, 2019

*Disclaimer: For players under the age of 18 years old, this form must be completed by the team captain's parent that will be responsible for payment and team updates.

Team Captain Name *
First Last
Parent Name (if under the age of 18)
First Last
Phone *
### - ### - ####
Team Captain Gender *
Male
Female
Email
(of person responsible for tournament updates and payment) *
Address
(of person responsible for tournament updates and payment) *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Your PAYPAL Email Address
(of person responsible for tournament updates and payment) *
Required so we can match up your payment with your registration.
Team Name *
Team Captain's Email: *
Players (Max 10 players per roster) *

Player 1

Player 2

Player 3

Player 4

Player 5

Player 6

Player 7

Player 8

Player 9

Player 10
Division Participating in: (Check one) *
Men's B
Women's B
Men's A
Women's A
Men's AA
Women's AA
I understand that each player must complete a Personal Liability and Consent Waiver before participating in the Pure Aloha Volleyball Club Winter Bash tournament.

(Liability form available via www.purealohavolleyballclub.com) *
Agreed

Player 1
Player 2
Player 3
Player 4
Player 5
Player 6
Player 7
Player 8
Player 9
Player 10

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41-555 Kamana Aina Pl. Waimanalo, HI 96795
(808) 306-5417
purealohavbc@gmail.com