2025 Fall Academy Registration

Urban Volleyball Club 2025 Fall Academy
Athlete Registration
Name*

First NameLast Name
Grade
D.O.B
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parents Name
Phone Number

Area CodePhone Number
Email
example@example.com
Athlete's T-Shirt Size

Youth SmallYouth MediumYouth Large / Adult SmallAdult MediumAdult LargeAdult XL
Athlete's Emergency Contact Name:
Emergency Contact's Phone number
Medical Release Waiver

Participants agree to assume all risks and responsibilities for any and all claims for damages, Including personal injury or death, including the contraction of Covid-19, medical expenses,disabilitiy,lost wages of earnings, capacity and property damages which may be incurred by Participant while engages in athletic games, events,practice sessions, conditioning sessions ect while at UVC and travel if any.
Medical Release Signature*

First NameLast Name
Urban Volleyball Gym Address

6267 Friendship Rd Tolar Tx 76476

Club Director: Bridgette Matthews 254-396-3417

urbanvolleyballacademy@gmail.com

Urbanvolleyclub.com

like us on our facebook page
Program Options*

ages 5-8 Beginning Oct 4th thru Oct 25 Only on Sat. No Evaluations 8am $100.004th-5th Grades (Evaluations will be held on Monday Sept.29th ( From 6:30-7:30PM) $125.006th - 8th Grades (Evaluations will be held on Monday Sept.29th (6:30pm - 7:30pm) $125.00
Choose Form of Payment*

Credit / Debit Card (3.25% fee added) *Complete section below.Venmo @Tommy-Matthews-UVC
We offer a $10 discount for each additional sibling.

Enter coupon code 001 for $10 off for sibling discount.

Credit/Debit Card

Ages 5- 8$103.25

Includes a 3.25% credit card fee

4th - 8th Graders$129.25

3.25% fee added

Enter coupon

Total $0.00

Credit Card

Should be Empty:

Urban Volleyball Club 2025 Fall Academy

Athlete Registration

Credit Card