Youth Indoor Fall League Registration

2026 Youth Indoor Fall Volleyball League Flyer

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Player's Name*

First Last

Birthdate*

Shirt Size*

Age Division*

Years of Experience*

Parent's Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Alt Phone

Email*

Coach requested (please list if you are committed to a specific coach/team):

Yes, I will:

Coach

Assist

Player Experience: please check where applicable

Has only played recreationally

Has played competitively

Can underhand serve

Can overhand serve

Player Fee

Additional Comments (If there is a night you are unable to practice, Monday through Friday, please explain in this section)

Parent Permission and Authorization WAIVER Form*

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 & Blue Springs Youth Volleyball League, it’s 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- $130/player*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Youth Indoor Fall League Registration

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