Little Rock Juniors Volleyball Club

Little Rock, Arkansas

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2011 - 2012 Tryout Registration

All Players must complete this registration form PRIOR to their tryout date.

There will be no Tryout Fee for the 2011 -2012 season.

Players First Name

Players Last Name

Will you be trying out for a Metro, Club or National Team? Check all teams you would like to be considered for placement on:

Metro Team National Team Club Team

Date of Birth

Select ONLY IF requesting an AGE WAIVER to play down ONE division below your ASSIGNED age division so that you can participate with others in your same school grade.

Complete this field ONLY if you intend to “play up” in an older age division. Which age division tryout will you be attending?

Complete this field ONLY if you have made arrangements to attend a tryout on an alternate date. Please enter the date you have prearranged to try out on.

Year you will graduate High School:

Name of School that you attend

Parent / Guardians Full Name

Email Address (so we can notify you of any changes to the Tryout Schedule):

Address:

Street Address:
City: State/Province: Country: Zip/Postal Code:

or cancel