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Youth Recreation Volleyball for Grade 4 to 12
Mount Olive Volleyball Association
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2024 Player Registration Application
Registrar Notes (MOVBA USE ONLY):
MOUNT OLIVE VOLLEYBALL ASSOCIATION
2024 REGISTRATION
(Open to boys and girls in 4th-12th Grade)
MOVBA is a sports association of the Township of Mount Olive Recreation Department
Player Information
How did you hear about the Mount Olive Volleyball program? Recreation Brochure, Friend, returning player, etc.:
*
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
All players must have at least 2 available practice nights in order to register. Most teams will only practice one night. Having a minimum of 2 practice night selections allows us to manage the difficult task of accommodating player friend requests and practice night availability for all players. Please select the option below that represents the nights you are available for practice.
*
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
All games are played on Saturdays. It is expected that players will attend all games, but we understand that there may one or two weeks that players miss because of other activities. It is very helpful for our planning if we are aware of known conflicts in advance. Please indicate if your child has other commitments on Saturdays that might conflict with his/her volleyball match. As long as your child is able to make the majority of games, a Saturday conflict will not jeopardize your child's ability to participate in our league, but it will allow us to ensure that we do not place too many players with Saturday conflicts on the same team. We would like to prevent teams from having to forfeit because they don't have enough players available. Feel free to provide further explanation about potential conflicts in the Additional Comments section at the end of the registration form.
*
Potential Saturday Conflicts?:
Yes
No
Teammate Request
Only 1 teammate request and they must also request you. Paired players must have 2 common practice nights selected or the request will not be honored. We will try to accommodate everyone but requests are not guaranteed. Please refer to the Registration Details page for more information. NOTE: Please use the teammate request to facilitate carpools. We cannot accommodate additional carpool requests, NO EXCEPTIONS.
Teammate First Name:
Teammate Last Name:
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:
Teammate and Sibling pairing requests are not guaranteed. In the event that, at the discretion of MOVBA Board of Directors, we cannot honor BOTH your Teammate and Sibling request, please indicate which should take priority, Teammate Request or Sibling Request. We will try our best to honor requests, but in order to meet our goal of evenly distributed skill across all teams, along with practice night availability, we may not be able to honor all requests.
Paired Player Priority:
None
Sibling Request is more important
Teammate Request is more important
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
Linesperson/Scorekeeper - EARN $$$ (7th-12th grade only)
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:
PLEASE NOTE: We cannot accommodate carpool requests. Please use the Teammate Request feature to pair players who need to carpool. NO EXCEPTIONS!
Payment
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
**DEADLINE IS 1/31/2024 or earlier if program reaches capacity!!
Payment via Credit Card will be processed from the Stackpay site.
* indicates required fields
SELECT FEE
$125.00 - Player Fee - 1st Player
$115.00 - Player Fee - Additional Players (in same household)