TEAM NAME: ___________________________________

 

PLAYER #1: ____________________________________          AGE: _________               EXPERIENCE: _________________

 

SCHOOL ATTENDING:___________________________          

 

ADDRESS: _______________________________________________________________

 

PHONE: ______________________________________

 

ARE YOU INTERESTED IN CLUB VOLLEYBALL?                    YES: _________               NO: ________

 

 

PLAYER #2: ____________________________________          AGE: _________               EXPERIENCE: _________________

 

SCHOOL ATTENDING: ___________________________

 

ADDRESS: ______________________________________________________________

 

PHONE: _______________________________________

 

ARE YOU INTERESTED IN CLUB VOLLEYBALL?                    YES: _________               NO: ________

 

 

PLAYER #3: ____________________________________          AGE: _________               EXPERIENCE: _________________

 

SCHOOL ATTENDING: ___________________________

 

ADDRESS: ______________________________________________________________

 

PHONE: _______________________________________

 

ARE YOU INTERESTED IN CLUB VOLLEYBALL?                    YES: _________               NO: ________

 

 

TOTAL OF FEES ENCLOSED: $_______________________________________

 

Please mail your registration and entry fee to the following:

 

NWLA Club Volleyball

P.O. Box 18113

Shreveport, LA  71138

 

For more information call Jim at (318) 470-4836.

 

 

 

 

 


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