Bay Area Volleyball Academy - Clinic Registration

Clinic Registration

Clinic Session:

Planned Method of Payment:

Credit Card Mailing to BAVA

Are you interested in trying out for a BAVA team in November?:

Yes No

Volleyball Experience:

Player's Name:

Street:

City:

State:

Zip:

Home Phone:

E-mail Address:

Date of Birth:

Age:

School:

Grade:

Parent/Guardian Name:

Parent Email:

Parent Cell Phone:

Emergency Contact Name:

Emergency Contact Cell Phone:

Emergency Contact Relationship:

Clinic Attendance

Please check the boxes for the clinics you plan to attend:

Beginner
July2
July 9
July 16
July 23
July 30
August 6 Intermediate
July2
July 9
July 16
July 23
July 30
August 6 Advancedr
July11
July 18
July 25
August 1
August 8
August 15

Medical Information

Since your last sports physical, have you had or do you presently have any of the following:

Hepatitis or mononucleosis?:

Yes No

Head injury with loss of consciousness?:

Yes No

Head injury with no loss of consciousness?:

Yes No

Concussion?:

Yes No

Palpitations, irregular heartbeat, cardiac condition?:

Yes No

Dizziness, passing out or fainting during exercise?:

Yes No

Shortness of breath, wheezing on exertion?:

Yes No

Asthma, diabetes, hypoglycemia?:

Yes No

Seizures or epilepsy?:

Yes No

Any heat related illnesses?:

Yes No

Orthopedic injury (sprain, strain, tear, fracture)?:

Yes No

Hospitalization, accident, or surgery?:

Yes No

Ever told you could not play sports?:

Yes No

Other (allergies to insect bites, medication, etc.)?:

Yes No

Please explain all YES answers:

Mission Statement

Bay Area Volleyball Academy is a non-profit Junior Olympic Volleyball club that is dedicated to providing an exceptional developmental and competitive volleyball experience for female players in Anne Arundel County and the surrounding counties. This program is committed to the community and promotes strong relationships between players, coaches, and parents. The Academy aims to challenge athletes to achieve their potential while developing skills needed to compete at a highly competitive level. Through participation and education, the program emphasizes the values of sportsmanship, character, self-discipline, and teamwork. It is the goal of the club for each athlete to attain the satisfaction and enjoyment of playing competitive volleyball but with a perspective recognizing balance in one’s personal life.