Online Registration Form

Click here to download the Coastal Brochure.

Personal Information

Name:
Address:
City: State: Zip Code:
Telephone:
Birth Date:
Age as of 9/1/2008: This is the USAV age bracket cutoff
E-Mail Address:

School Information

School Name: Grade:
Position on Team:    
Parent / Guardian Name:
 

Uniform Information

Shirt Size:  

Short Size:  

Sweatshirt or Jacket Size:  

Embroidered Name on Sweatshirt, Jacket, or Gymbag:

Please check off the program you are applying for: (One player per application)



When you have finished, press: or .

Please make checks payable to:
Coastal Volleyball Club Inc. and mail check along with your completed
1. NERVA Waivers
2. Medical Form
3. Attendance Form
To:

Coastal Volleyball Club, Inc
Attn: David Peixoto
3893 Acushnet Ave
New Bedford MA 02745-4233