2021 Spring Clinic Registration Form

2021 Spring Clinic Registration Form

  • Liability

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  • COVID-19 Precautions & Procedures

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  • Membership

    Membership is a one time annual fee that is required to participate in any Girls Place program. Membership fees are $20 for one child and $40 for families with two or more girls participating and are valid from January 1st - December 31st. Membership is nonrefundable and nontransferable. New members will be assessed the appropriate membership fees when they register for the spring volleyball program. Please call (352) 373-4475 if you would like to verify that your membership has been paid for 2020.
  • An active 2021 Girls Place Membership is required to participate in all Girls Place programs. If you are unsure of your membership status, please call 352-373-4475.
  • Player Information

    This registration form is for all girls wanting to participate in Spring Sports clinics.
  • Date Format: MM slash DD slash YYYY
    mm/dd/yyyy
  • Please identify.
  • Parent/Guardian Information

  • Emergency Contact

  • Must be someone other than a parent or guardian.
  • Volunteer with Girls Place Athletics!

  • Demographics

    The following is optional and ONLY used to assist us in obtaining funding and various grants. THIS INFORMATION WILL BE HELD CONFIDENTIAL.
  • Please remember that this information is held confidential and is used for reporting purposes and securing grants to better serve you.
  • Girls Place Policies and Practices

    The following section includes information regarding payments, releases and our programming. Please read this information carefully. You will be held responsible for all of the content. Please contact Charlie at Charlie@girlsplace.net with any questions.
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  • Questionnaire: (Please complete in an effort to provide the most positive experience for your children)

  • Signature

  • I have read and fully understand the contents of this application. I have completed the application to the best of my knowledge and ability. I understand that if any information listed in this application changes, I will notify GIRLS PLACE immediately. The child/children listed above has/have my permission to participate in the activities sponsored by GIRLS PLACE as noted on the program schedules. In the case of an emergency an alternate person will be called if the parent(s) can not be reached by phone. The undersigned, individually and as parent or guardian of the participant, hereby authorize GIRLS PLACE to carry out any measures deemed necessary should an emergency occur, including at the expense of the undersigned, appropriate medical treatment for the participant, and hereby releases the GIRLS PLACE, its employees and agents, from any liability or claims arising out of the participant's engagement in the above described events.
  • Type full name here