All athletes and parents/guardians who wish to be a part of the Campbell River Crush Volleyball club are required to have read and understand the Volleyball BC Code of Conduct & Ethics, and Recruiting Policy.

We, the parent(s)/guardian(s) and the athlete, have read and understand the Volleyball BC Code of Conduct & Ethics and Recruiting Policy: (Required)
—Please choose an option—YesNo

Athlete Information

First Name (Required):
Last Name (Required):
Birthdate (Required):
Cell Phone:
Email:
Care Card Number (Required):
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Medical Concerns, Allergies, Previous Injuries:

Guardian #1

First Name (Required):
Last Name (Required):
Address (Required):
City (Required):
Postal Code (Required):
Home Phone:
Cell Phone:
Email Address (Required):

Guardian #2

(only complete address/phone information if different than above)
First Name:
Last Name:
Address:
City:
Postal Code:
Home Phone:
Cell Phone:
Email Address:

Emergency Contact (other than above)

First Name:
Last Name:
Home Phone:
Relationship to Athlete:

By checking the box above I, the parent/guardian of the above participant, agree the terms set out in this consent form.

Once you submit this form you will redirected to PayPal to to pay the $200 registration fee. If you would prefer to pay via an e-transfer, cash, or cheque please just close the window once you have submitted this form and email treasurer@crushvb.ca