SJV CYO Co-ed Volleyball Registration

Please complete all the required fields below. This information will allow the CYO to determine the level of interest in each sport. We will use the information to contact you. We WILL NOT share this information with any person or organization outside the CYO. This form uses a secure protocol and encryption to protect your information while in transit over the internet.

* Required to submit form.

Participant First Name * Child's first name	Participant Last Name * Child's last name
Participant Date of Birth * Please enter in MM/DD/YYYY format	Participant is * Child's sex Female Male
Participant is in grade *	Select a Sport: * Co-ed JV 4th-6th, Co-ed Varsity 7th-8th
Mother's (Guardian) Name * Please enter full name or 'None'	Father's (Guardian) Name * Please enter full name or 'None'
Primary Phone Number * Number where CYO may contact parents	Emergency Phone Number If no one available at Primary Number
Mother's (Guardian) E-mail Address Please do not use child's e-mail address	Father's (Guardian) E-mail Address Please do not use child's e-mail address
Home Address: Street * Where child resides: Number + Street, Apt. #	Home Address: City * Where child resides: City
Home Address: ZIP * Where child resides: ZIP Code	Home Parish * At which Parish is your family registered?
What School does the Child Attend? * (e.g. SJV, Muhlenberg, Union Terrace, etc.)	Parents interested in volunteering? This is not a solicitation for coaches. Yes No