2007/08 Registration Form - Please read instructions before beginning.

Each participant MUST do EACH of the following to register with Atomic Volleyball.

1) Sign up for our e-mail news! All information will be sent out via our e-mail- if you don't sign up- you will not be informed of changes, schedules, etc.   REQUIRED!

2) Sign up with ATOMIC VOLLEYBALL by completing the form below. Complete each field and remit form after you complete, then hit submit button click ONLY ONCE.

NEW for 2008:  Palmetto Region requires if you plan to tryout for more than one club- you must notify them here:

Player Information

Player Last Name

Player First Name 

Date of Birth (mm/dd/yyyy)

USAV age Division 10U 11U 12U 13U 14U 15U 16U 17U 18U click here if not sure

Height

Weight

Dominant Hand Right Left Both

Primary Position Played Setter Out Side Hitter Right Side Hitter Middle Blocker Defensive Specialist

Secondary Position Played Setter Out Side Hitter Right Side Hitter Middle blocker Defensive Specialist

Graduation Year 2008 2009 2010 2011 2012 2013 2014 2015

Grade

Name of School

Name of School Coach only if applicable

School Coach Contact e-mail address

T-shirt size YM YL AS AM AL AXL AXXL

Uniform size YM YL AS AM AL AXL AXXL

Playing Option Young Studz Atomic Regional Atomic Elite not sure

Atomic Location Aiken Augusta Will Consider either

If you are trying out for another Club please list the club here

Contact Information

Home Address

City    State Ga SC    Zip Code

Home Phone please include area code (706-555-5555)

Primary e-mail this is the e-mail that we will send all important information!!!

Athlete e-mail

Alternate e-mail

Mother's Name

Mother's cell phoneplease include area code (706-555-5555)

Father's Name

Father's cell phoneplease include area code (706-555-5555)

Name of Insurance Company Covering the Athlete

Type of Coverage Individual Group