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Pop Up Bar Registration
CenterlineAdmin
2025-11-01T17:37:22+00:00
Pop Up Bar Registration
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Contact
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Last
Date/Time selected
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Friday, Nov. 28th, 5:30-7:30pm
Friday, Nov. 28th, 8:00-10:00pm
Saturday, Nov. 29th, 5:30-7:30pm
Saturday, Nov. 29th, 8:00-10:00pm
Friday, Dec. 5th, 5:30-7:30pm
Friday, Dec. 5th, 8:00-10:00pm
Saturday, Dec. 6th, 5:30-7:30pm
Saturday, Dec. 6th, 8:00-10:00pm
Friday, Dec. 12th, 5:30-7:30pm
Friday, Dec. 12th, 8:00-10:00pm
Saturday, Dec. 13th, 5:30-7:30pm
Saturday, Dec. 13th, 8:00-10:00pm
Friday, Dec. 19th, 5:30-7:30pm
Friday, Dec. 19th, 8:00-10:00pm
Saturday, Dec. 20th, 5:30-7:30pm
Saturday, Dec. 20th, 8:00-10:00pm
Friday, Dec. 26th, 5:30-7:30pm
Friday, Dec. 26th, 8:00-10:00pm
Saturday, Dec. 27th, 5:30-7:30pm
Saturday, Dec. 27th, 8:00-10:00pm
Billing Address
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Quantity
Price:
$10.00
Quantity
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Additional Comments
Permission and Authorization WAIVER Form
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I, the undersigned, do hereby certify that I shall assume all financial responsibility for any injury to the above named player. I waive, release, absolve, indemnify, and agree to hold harmless Centerline Volleyball, itโs referees, coaches, participants and persons included in all league activities, for any injury, transporting to and from those activities to include participation, from all claims or liability directly or indirectly for any claim arising out of injury to the player or myself. I certify that I have my own insurance.
If I, the undersigned, cannot be reached in the event of an emergency, I also give consent for the league directory, referees or coaches to obtain through a physician or a hospital of its choice, such medical care as is reasonably necessary for the welfare of the player.
I Agree
Credit Card
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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Expiration Date
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Year
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