Breakthru Volleyball League 3rd-6th Grade
	Quantity in Basket: None Code: BTV Price: $115.00
	Athlete's Name: Date of Birth: Parent's Name: Address: Home Phone: Cell Phone: Email Address: Grade 2009-2010: School:
Fridays - March 26, April 2,9, 16, 22, 30. Girls 3rd – 6th grade 1 1/2 hour training with qualified club coaches & 1 1/2 hours Power League Play Form your own team of 7-8 players or we can place you on a team Please contact us if you have any questions at: Phone: 806-322-1119 Fax: 806-322-1138 Stephanie Bankhead 806-206-5891 E-mail: bankhead4@suddenlink.net Upon registration, I/we the parent and/or legal guardian of the athlete named above, do hereby give our permission for him/her to participate in the above activity. We do hereby agree to indemnify and hold Advanced Volleyball Amarillo, The Courts of Amarillo, and Advanced Athletics, LLC and its' coaches harmless of all injuries occurring as a result of or in a way connected with your athletes presence at the volleyball clinics. We also authorize an Advanced Volleyball Amarillo representative of said clinic permission to acquire emergency treatment if necessary.