Player's Name *

First Name

Last Name

Adult Responsible for Junior *

If the player is under 18 years old we must have an adult that is responsible for them listed as the point of contact.

First Name

Last Name

Phone *

(###)

###

####

Birthdate *

Age as of JUNE 1, 2024

MM

DD

YYYY

Uniform Size *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult X-Large

Adult 2XL

Payment *

Player fee is $125. We only accept VENMO for Juniors League. If you do not have Venmo and you need to make other arrangements for payment please email us at Jason@PointbreakVolleyball.com Your spot is NOT RESERVED UNTIL PAYMENT IS RECEIVED!

Venmo Jason-Harrell-23

I will contact you for other payment options

Minor Agreement *

All minors under 18 years of age must have a responsible adult at the complex at all times. All players will be required to have a liability form on file the first night of practice before they are able to participate. We provide the waiver upon arrival the first night. Please make sure that the responsible adult is available the first night of practice to sign.

I Agree