*** We will be following age groups according to USVA Volleyball! WE are requesting to see a copy of the
birth certificate or age verification at the door when coach/teams arrive this year. Thanks! |
2015 Casey Cooley Memorial Volleyball Tourney FORM
OR
You may use your USVA/AAU Team registration form
PLEASE TYPE OR PRINT
CLUB NAME:________________________________________________________
TEAM NAME:_________________________________________________________
CLUB REPRESENTATIVE: ________________________________________________
TEAM LEVEL:_________________________
STREET
ADDRESS:_______________________________________________________________________
CITY:__________________________________________________________ STATE:_____________ ZIP CODE:___________________________
PHONE:
home (
) ________________________________
***E-MAIL: __________________________________________________
# CLUB/TEAM
CODE or AAUCode_________________________________________________________
First and Last NAME OF INDIVIDUAL
1.______________________________________
2.______________________________________
3.______________________________________
4. ______________________________________
5.___________________________________________________________
6._______________________________________________________________________________
7._______________________________________________________________________________
8. _______________________________________________________________________________
9.. ___________________________________________________________
10.__________________________________________________________
11.______________________________________________
12.__________________________________________________________
13. _________________________________________________________
14.____________________________________________
_
15.__________________________________ __
COACH'S NAME_______________________________________________
ASST.COACH ________________________________________
FEE: $250.00 per team . Make checks payable to: Casey Cooley Volleyball Fund
MAIL TO: Lisa Cooley, 2635 Chestnut Street, Columbus, Indiana, 47201
