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HO'OKINO VOLLEYBALL CLUB
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2025 - 2026 HVC TRAINING PROGRAM
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
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City:
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State:
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Zip Code:
Home Phone:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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2009
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2011
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2015
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Email:
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Gender:
Male
Female
Other
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School:
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Grade (2025 - 2026 School Year):
K
1
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4
5
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9
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12
PARENT/GUARDIAN #1
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Firstname:
*
Lastname:
*
Email:
Home Phone:
Work Phone:
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Mobile Phone:
PARENT/GUARDIAN #2
Firstname:
Lastname:
Email:
Home Phone:
Work Phone:
Mobile Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
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Emergency Contact:
*
Contact Phone:
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Relationship to Player:
*
Insurance Carrier:
*
Policy #:
WAIVER INFORMATION
HO'OKINO VOLLEYBALL CLUB (HVC) WAIVER AND RELEASE OF LIABILITY
The parent(s)/guardian(s) listed above must read this section and click the "I/We agree with the above" box below before the member listed above is allowed to participate in this training program.
I hereby authorize the Ho'okino Volleyball Club staff to act for me according to their best judgment in any emergency requiring medical attention. I hereby waive and release the Ho'okino Volleyball Club, St. Andrew's School, Kaneohe District Park, Le Jardin Academy, and King Intermediate its coaches and volunteers, from any and all liabilities for any injuries, illnesses and/or lost property incurred while participating in the training session. I have no knowledge of any physical impairment that would be affected by the above named player's participation in this activity. The player listed above is covered by the insurance plan and policy number listed in the Medical/Emergency Contact Information section above. This waiver of liability expressly includes transportation to and from, or in conjunction with, said Ho'okino Volleyball Club activities during 9/1/2025 - 8/31/2026.
I/we agree with the above
*
* indicates required fields