Fall 2014 CHAP Volleyball program www.chapchariots.org

CHAP Chariots Volleyball Attn: Fall 2014 Registration 1012 Powderhorn Lansing, MI 48917

For more information, please contact: Jeff Braatz, Director, [email protected] Hannah Gingery, Varsity Coach, [email protected] Kim Winter, Communications, [email protected]

Player Registration form Please complete this form and submit with a $25 non-refundable “team placement fee” to the address above. This fee will apply toward your final registration costs (El:$75, JrHi:$125, JV:$150, Var:$200) and will guarantee you a spot on one of the CHAP Volleyball teams this fall.  DUE DATE: FORM & FEE MUST BE TURNED IN BY AUG. 4, THE FIRST DAY OF TEAM PLACEMENTS My child has permission to participate in the activities of the CHAP Girl’s Volleyball program. I agree to take full responsibility for their well-being and agree not to hold any individual involved with the CHAP volleyball program liable for any harm that may come as a result of participation in this program – including, but not limited to coaches, organizers, participants, and persons providing transportation. Parents’ Names: __________________________________________ Date: ____________________ Parent Signature:_________________________________________ Athlete’s Name: _____________________________________ Birthdate: __________ Grade: ______ Shirt Size: Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

Short Size: Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

Preferred Parent Email Address: ________________________________________________________ Player Email Address, if applicable: _____________________________________________________ Home Phone: __________________________________ Mom’s Cell Phone: ______________________________ Can you receive texts at this number? _____ Dad’s Cell Phone: _______________________________ Can you receive texts at this number? _____ Player Phone, if applicable: _______________________ Can you receive texts at this number? _____ What church does your family attend? ___________________________________________________

Level: Please tell us what team your daughter would like to be placed on. (Details of each team will be available on the website.) NOTE: Checking a box here does not guarantee a spot on that particular team. Decisions for team placement will be made by the coaches during ‘team placements,’ the week of August 4-7. ELEMENTARY - 12 & UNDER – Cost: $75 JUNIOR HIGH – 14 & UNDER – Cost: $125 JV – 16 & UNDER – Cost: $150 VARSITY – 18 & UNDER – Cost: $200