St. Hubert Catholic School

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Athletics Registration

5th-8th grade boys volleyball is closed
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Parent/Guardian Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
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  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Alternate Emergency Contact Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Medical Information
  
  Hospital/Clinic Preference REQUIRED Please fill out this field. Please enter valid data.
  
  Physician’s Name REQUIRED Please fill out this field. Please enter valid data.
  
  Physician's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Insurance Policy Number REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies/Special Health Considerations
  
  I authorize all medical treatment performed or prescribed by the attending physician for my child and waive my right to informed consent or treatment. The waiver applies only in the event that neither parent/guardian can be reached in case of an emergency.
  
  ELECTRONIC SIGNATURE AGREEMENT:
  By typing my full name in the box below, I am signing this Agreement electronically. I agree my electronic signature is the legal equivalent of my manual signature on this Agreement. I consent to be legally bound by this Agreement's terms and conditions.
  
  Signed REQUIRED Please fill out this field. Please enter valid data.
  
  Student Athletes REQUIRED Please fill out this field.
  
  Athlete 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Please select one of the following REQUIRED 5th-8th grade boys volleyball Please fill out this field.
  
  Athlete 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Please select one of the following REQUIRED 5th-8th grade boys volleyball Please fill out this field.
  
  Athlete 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Please select one of the following REQUIRED 5th-8th grade boys volleyball Please fill out this field.
  
  Athlete 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Please select one of the following REQUIRED 5th-8th grade boys volleyball Please fill out this field.
  
  Athlete 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Please select one of the following REQUIRED 5th-8th grade boys volleyball Please fill out this field.
  
  Submit
  
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- Registration Fees
  
  The Fee Schedule is as follows:
  $70 boys volleyball registration fee
  Click here to Pay Online
  If you wish, you may also pay your child’s registration fee by check payable to St. Hubert School and sending it to the the school office marked Athletics Registration.
- Sport Physicals
  
  Please note that all athletes need to have a completed sports physical on record with St. Hubert School for each school year to participate in any athletics.