Volleyball Registration Form

CJS Home Page CJS Volleyball League
Coed Jewish Volleyball
Winter (Jan-March) 2008 Volleyball Registration Form

Print and Mail to Address Below
Coed Jewish Sports, P.O. Box 920844, Needham, MA 02492

CONTACT INFORMATION

Name ________________________________ Age: _____

Address _________________________________________________________

City _____________________________ State ____________ Zip Code ______________

Home Phone ___________________________ Work Phone ___________________________

E-mail address ______________________________ @ __________________________________

Circle one: Female / Male Height:

Circle One: Single Married Significant Other None of your Business

VOLLEYBALL INFORMATION

Volleyball Skill Level (please circle one): Beginner Advanced Beginner Intermediate Advanced Intermediate Advanced

Volleyball Experience, please circle all that apply:
Never Played Before Recreational High School Intramural High School Varsity College Varsity College Intramural Post College Leagues

How many games do you anticipate missing? Circle One 1 2 3 4 5 6 or more

Why are you interested in joining the league? Please check all that apply.

1. Meet other people 2. Team competition 3. Recreation 4. Play volleyball with friends

5. Play volleyball in a league sponsored by a Jewish organization 6. Other, please explain:

Comments:
Would you be interested in becoming more involved in the league:
1. Serve as a co-captain:Yes / No / Maybe 2. Help plan social events for the league:Yes / No / Maybe
3. Market / Promote the league:Yes / No / Maybe 4. Comments

Please tell us how you heard about Coed Jewish Sports and the Coed Jewish Sports Volleyball League?

TEAM MEMBERS
In order to accommodate those of us that would like to play with a group of friends, we will permit mixed groups of four people to sign up together. Each person may therefore select to join with up to three other people limited to two females and one male OR one female and two males. Please endeavor to have those that you select reciprocate by also indicating your name in their selections. We will attempt to accommodate your requests. Please feel comfortable signing up just as an individual, as many participants do, and in fact these people usually have the most fun.

Please indicate up to three teammates:

Female Team-Mate Male Team-Mate

PAYMENT AND REGISTRATION
Please return this registration form and signed waiver with a check made payable to Coed Jewish Sports. Full-time (undergrad and grad) students may deduct $20.00 from the fee (photocopy of student ID is required).

The fee for the Winter season is $99.00. All registrations are accepted on a space available basis. Payments are not refundable unless the league is full and we cannot place you on a team. Please mail your registration and payment to Coed Jewish Sports, P.O. Box 920844, Needham, MA 02492. For additional information please send an e-mail to

or call 781-453-9599.
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WAIVER AND RELEASE OF LIABILITY (READ BEFORE SIGNING)
In consideration of being allowed to participate in any way in the Coed Jewish Sports Volleyball League, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS COED JEWISH SPORTS their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners, and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

x_____________________________
(Participant’s Signature)

x_____________________________
(Participant's Printed Name)

DATE SIGNED:____________________