CCSL | 2022 CCSL Volleyball

Volleyball League Choice*

CCSL Boys

CCSL Girls

Age Group Player will play in*

Middle School - 10-13 as of June 1st

High School - 14-18 as of June 1st

Young Adult - 18+ as of June 1st

NOTE: If the player is 13 and is entering into High School as of June 1, they may choose to play in Middle School or High School.

Name*

First Last

Address*

Street Address City State ZIP Code

Players Email

Players Cell Phone*

Date of Birth*

School*

players current school

Current School Grade*

High School Youth Group*

If Other Please Write Below

Parish*

Father's Name*

First Last

Father's Phone Number*

Mother's Name*

First Last

Mother's Phone Number*

Parent Release Form

Allergies / Health Conditions*

Does the player have any allergies, medication, or health conditions?

List any medications, allergies, or health conditions.*

Parent Release*

By clicking this checkbox you agree/accept the following

I request that my child be allowed to participate in the St Thomas Chaldean Diocese Youth Group Volleyball League. In the event of an emergency or should my son require medical assistance, I authorize the adults in charge to seek such assistance and treatment. If such an incident should occur, I release from any liability: my parish and its staff, the Dioceses of St Thomas, the organizers, chaperones, and other adults responsible for running this program. I understand that the St Thomas Chaldean Diocese does not provide accidental/medical insurance for the child named above. Medical bills, including prescription drugs, will be the responsibility of the parent or guardian of the child. When participating in this league, our child may be photographed during any time participating in this league. I also understand the Player Code of Conduct for my child, listed below, and at any time these codes are not respected and followed, my child may be dismissed from this league.

Code of Conduct*

By clicking this checkbox you agree/accept the following

I (participant) pledge to be responsible for my participation by following the Player Code of Conduct of the St Thomas Chaldean Diocese Youth Group Volleyball League.
_____I agree to play in a positive manner, reflecting Christian values at all times.
_____I agree to practice good sportsmanship at all times.
_____I agree to attend & participate in all scheduled games & practices when possible.
_____I agree to be aware of safety & will follow team & league rules to ensure safe play.
_____I agree to my coach’s authority & will participate & communicate positively with my coaches & teammates.
_____I agree to treat fellow players, opponents, fans, & officials with respect.
_____I agree to exercise self-control at all times, refraining from foul language, & setting a positive example for others to follow.
_____I agree to support & encourage my teammates, & I will always try my best to keep a positive attitude.
_____I agree to attend one of the Diocese’s high school youth groups. The options are .COM (Mother of God on Mondays), DOC (St. George on Tuesdays), Super Saints (Our Lady Of Perpetual Help on Wednesdays), MRUS (Holy Martyrs on Wednesdays), CLC (St Thomas on Wednesdays), or CLC (St Joseph on Thursdays)

Consent*

By clicking this checkbox you agree/accept the following

* Practices will be held within a 20 minute radius of the church you play for
* Practice times and days will be dependent on and determined by the coach
* If a team does not have enough coaches or players they will be merged with another team

Parent/Player Email*

Name of parent filling out this form (Electronic Signature)*

First Name Last Name

By typing my name here, I, the parent/guardian of the child (player), confirm that I agree with all the terms. I also have communicated the CODE of CONDUCT with my child (player).

Payment

Coupon

If you are paying cash please input the coupon code here

CCSL Volleyball Registration Cost

Credit Card

Card Details

Cardholder Name

Total

2022 CCSL Soccer Registration (Boys and Girls)

NOTE: If the player is 13 and is entering into High School as of June 1, they may choose to play in Middle School or High School.

Jersey and Teammate Request

Coach Request

Teammate Request

Parent Release Form

Payment