HO'OKINO VOLLEYBALL CLUB - (Honolulu, HI) - powered by LeagueLineup.com

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PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Birthdate:

* Gender:

* School:

* Grade:

* Unisex T-Shirt Size:

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult X-Large

Adult 2X-Large

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* E-mail:

* Home Phone:

Work Phone:

* Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

* E-mail:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Insurance Carrier:

* Policy #:

WAIVER INFORMATION

I/We agree with the above. *

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