Online Registration (if you register online you do not need to complete a printed registration form)

You Are Registering for:
Premier Youth Program Fall 2009

1. Complete Personal Information (*required fields)

Player's Last Name*

Player's First Name*

Grade (in fall of 2008)*  

Graduation Year*

Mailing Address*

City*

State*

Zip*

Phone*

Parent's Name    

Emergency Phone

Position (if in HS*)  

Height*

School**

Parent's Email*

@

Players's Email

   @

J.O. Club

PLEASE NOTE: PLAYERS DO NOT HAVE A SPOT UNTIL WE RECEIVE YOUR PAYMENT.  WE DO NOT HOLD SPOTS FOR UNPAID REGISTRATIONS

2.

  Payment Information (check one)
I am paying online via PayPal
Enter your name as it appears on your Credit Card

Note: A button to pay online for this training session will be displayed as part of your registration confirmation

I am mailing a check payable to Premier Volleyball to:
Jodi Schramm
Premier Volleyball
1183 Tricia Ct.
Perrysburg, OH 43551