Z - PVA Adult Tournament Registration This form provides a record of you and your team's registration into the PVA Adult Tournament Series. It also provides the option to make your payment by credit card through Payapl or via check. If choosing to pay via Paypal, it will redirect you to PayPal to complete the processing of the payment. Please note that there is a 4% handling charge when paying through Paypal. Those wishing to pay by check, should select that choice and submit their payment to the club promptly. PVA Tournament Series Division Information Please register each team separately. Select Men's or Women's * Men's Team Women's Team Select Divsion * AA A BB PVA Tournament Series Dates Select all dates this specific team will be playing PVA Tournament Series * Tourney #1 - Saturday, December 30, 2017 Tourney #2 - Saturday, January 13, 2018 Tourney #3 - Saturday, February 10, 2018 Tourney #4 - Saturday, February 24, 2018 Tourney #5 - Saturday, March 10, 2018 Tourney #6 - Saturday, March 24, 2018 Tourney #7 - Saturday, April 7, 2018 Tourney #8 - Saturday, April 21, 2018 Tourney 1 Cost Tourney 2 Cost Tourney 3 Cost Tourney 4 Cost Tourney 5 Cost Tourney 6 Cost Tourney 7 Cost Tourney 8 Cost Team and Captain Information Team Name * Captain Name * First Captain Name * Last Captain Phone * Captain Email * Co-Captain Name * First Co-Captain Name * Last Co-Captain Phone * Co-Captain Email * Team Roster (Optional) Optionally add your team roster (up to 8 additional players here) Player 1 Name First Player 1 Name Last Player 1 Phone Player 1 Email Player 2 Name First Player 2 Name Last Player 2 Phone Player 2 Email Player 3 Name First Player 3 Name Last Player 3 Phone Player 3 Email Player 4 Name First Player 4 Name Last Player 4 Phone Player 4 Email Player 5 Name First Player 5 Name Last Player 5 Phone Player 5 Email Player 6 Name First Player 6 Name Last Player 6 Phone Player 6 Email Player 7 Name First Player 7 Name Last Player 7 Phone Player 7 Email Player 8 Name First Player 8 Name Last Player 8 Phone Player 8 Email Additional Info Provide any additional information here. Waiver of Liability I, individually and as the parents(s) or guardian(s) of athlete named above, a minor, ask that he/she be admitted to participate in this event sponsored by the Advancement Academy. In consideration of the acceptance of this application, I, intending to be legally bound, hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claim for damages I may have against Advancement Academy, the directors, coaching staff, representatives and or assignees, for any and all damages which may be sustained and suffered by me (and the above named athlete) in connection with my association with or entry in this class(s), and which may arise in my traveling to, participating in, or returning from this class(s). Parent(s), guardian, authorize Advancement Academy and its staff to act in the best interest of the applicant, at Advancement Academy’s discretion, in the event of injury to the applicant. By checking YES below, I agree to the Waiver of Liability above * Yes Payment Information Specify payment method * Payment via Paypal (additional 4% handling charge) Payment via Check A2 PVA Tournament Series Payment Amount (US $) Cost of all the Tournaments Paypal Handling Fee Separate handling fee (in US $) for credit card/Paypal transactions Total Cost Total amount (in US $) you will pay Payment Instructions If you selected "Payment via Paypal", upon clicking the Submit button, you will be sent to PayPal to complete the transaction. PayPal is a leader in online transaction processing and ensures your transaction is handled securely. Note that Advancement Academy does NOT see your credit card information since the transaction is handled entirely by PayPal. Once you complete your payment through PayPal, payment notification will then come directly from PayPal and serve as your receipt. If you cancel your transaction upon reaching PayPal, you will not receive credit for payment and you must pay via check or through our Club Payment tab on the website. If you selected "Payment via Check", please make your check payable to Advancement Academy and mail to the following address: Advancement Academy Volleyball Club 459 Orange Point Drive, Suite C Lewis Center, Ohio 43035 Captcha If you are human, leave this field blank.
