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Youth Recreation Volleyball for Grade 4 to 12
Mount Olive Volleyball Association
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2026 Player Registration Application
Player Information
*
Player First Name:
*
Player Last Name:
*
Street Address:
*
City:
*
State:
*
Zip:
*
Residency:
Mount Olive Resident
Out of Town
*
Gender:
Male
Female
*
Birth Date (mm/dd/yyyy):
*
School:
Select School
Mountain View
Tinc Road
Sandshore
CMS
Mount Olive Middle School
Mount Olive High School
Other
*
Grade:
4
5
6
7
8
9
10
11
12
*
Height - Feet (ex. 5):
*
Inches:
*
Volleyball Experience (years):
*
Please list other volleyball teams you play for or have played for, if any:
*
Team Shirt Size:
Select Shirt Size
Child Small
Child Medium
Child Large
Child X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2XL
Adult 3XL
Shirt sizes available: Child - S,M,L,XL & Adult - S,M,L,XL,2XL,3XL
Select available practice evenings
*
Practice Nights:
Mon+Tue
Mon+Wed
Mon+Thu
Tue+Wed
Tue+Thu
Wed+Thu
Mon+Tue+Wed
Mon+Tue+Thu
Mon+Wed+Thu
Tue+Wed+Thu
Mon+Tue+Wed+Thu
Saturday Conflicts
*
Potential Saturday Conflicts?:
Yes
No
If you would like to be placed on a team with a sibling, indicate their name below. Sibling pairs must have 2 common practice nights selected or the request will not be honored. Please keep in mind we can only place you together if you are both in the same division (junior, intermediate or senior).
Sibling First Name:
Sibling Last Name:
Informed Consent
*
I hereby grant permission for (player’s full name):
to participate in the volleyball program during the athletic season beginning April 2024. I further authorize the program to provide emergency medical treatment of my child for an injury or illness if qualified medical personnel consider treatment necessary and perform the treatment. This authorization is granted only if I cannot be reached and a reasonable effort has been made to do so.
*
Parent/Guardian First Name:
*
Parent/Guardian Last Name:
*
Parent/Guardian Primary Phone (xxx-xxx-xxxx):
Parent/Guardian Secondary Phone (xxx-xxx-xxxx):
*
Parent/Guardian Primary email Address:
Media Consent
We may occasionally post pictures from our matches on our web site or social media sites such as Facebook. Please indicate below if you grant MOVBA permission to use your registered player's picture in our online publications.
Media Consent Granted
Media Consent Granted by:
Medical Information
*
Family Physician:
*
Physician Phone Number (xxx-xxx-xxxx):
*
Medications Taken:
*
Pre-Existing Medical Conditions (None, Allergies, Asthma):
*
Emergency Contact Name:
*
Emergency Contact Phone (xxx-xxx-xxxx):
*
Emergency Contact Relationship:
MY CHILD AND I ARE AWARE THAT PARTICIPATING IN ANY SPORTS ACTIVITY IS A POTENTIALLY HAZARDOUS ACTIVITY. I ASSUME ALL RISKS ASSOCIATED WITH PARTICIPATION IN THIS SPORT, INCLUDING BUT NOT LIMITED TO FALLS, CONTACT WITH OTHER PARTICIPANTS, THE EFFECTS OF THE WEATHER, TRAFFIC, AND OTHER RISKS ASSOCIATED WITH THE SPORT. ALL SUCH RISKS ARE KNOWN AND UNDERSTOOD BY ME. MOUNT OLIVE TOWNSHIP PROVIDES EXCESS ACCIDENT INSURANCE OVER WHAT YOUR OWN INSURANCE PROVIDES. ALL INJURIES MUST BE REPORTED IMMEDIATELY. CLAIMS EXCEEDING 20 DAY NOTIFICATION WILL NOT BE ACCEPTED BY THE INSURANCE COMPANY. I UNDERSTAND THIS INFORMED CONSENT FORM AND AGREE TO ITS CONDITION ON BEHALF OF MY CHILD.
I agree and understand the above statement
*
*
Consent Provided By (Full Name):
*
Date of Consent (mm/dd/yyyy):
Volunteers Needed!
The MOVBA is an all volunteer program whose success is dependent upon volunteers. Please indicate below any area in which you or your registered player would be interested in helping.
Parent Volunteer Opportunities
Coach
Assistant Coach (Parent)
Board Member
Advertising
Facilities Coordinator
Spirit Wear
Coaching Certification Coordinator
Player Volunteer Opportunities
Assistant Coach (Player)
Player Volunteer - help with clinics, etc.
COACHES
- Head Coaches must be 18 or older. Assistant coaches must be in High School or older. Please fill out the Coaching Application form found in the Online Forms section of the website.
LINESPEOPLE/SCOREKEEPERS
- Only registered 7th-12th grade players are eligible. You will receive training along with pay in the amount of $10 per Junior/Intermediate match and $15 per Senior match. No prior experience required. Please fill out the Linesperson/Scorekeeper Application in the Online Forms section of the website.
BOARD MEMBERS/ASSISTANTS/VOLUNTEERS
- Board members must be 18 or older and a resident of Mount Olive. Please fill out the Volunteer Application Form in the Online Forms section of the website.
Additional Comments
Additional Comments:
Registration discounts for multiple players apply to
players of the same household
. Please select the correct Registration fee for each player added.
First Player - $125
Additional Players - $115
* indicates required fields
SELECT FEE
$125.00 - Player Fee - 1st Player
$115.00 - Player Fee - Additional Players (in same household)
