Reigning Sports Academy - GIRLS TRYOUTS

First Name *

Last Name *

Street Address *

City, State *

Zip Code *

Email Address *

Phone Number *

Date of Birth *

Name of School Attending *

Grade in School *

Team Age Trying Out For *

Position Tryout Ouf For *

Playing Years of Experience *

If trying out for another age group please state here as well as other volleyball positions your child wishes to try out for: *

Level of Play Desired *

Local Tournament Play

Travel Tournament Play

AAU # (Please Bring a Copy of your AAU Card) *

Checklist - please check mark as you complete each task.

Tryout Payment $20 Cash	Tryout payment venmo to @Surge-USA
Bring Copy of AAU Card	Bring Copy of Insurance Card
Bring Copy of Physical or Medical Waiver

I certify the above information is correct and the individual listed above has my permission to tryout with Utah Surge Athletics. AAU, Utah Surge Athletics, American Heritage School, its agents and representives will not be held liable for any injuries, loss of property, or accidents during the tryout program.

Parent Signature *

clear

Date *