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                                                                                                        FOR OFFICE USE ONLY:
Pullout Form                                                  City of Burbank
                                           Park, Recreation, & Community Services Department            Receipt #: _________
                                                      Sports Office - (818)238-5330                     AMT PD: __________


                  200__ VOLLEYBALL LEAGUE REGISTRATION

  Team Name _________________________________ Sponsor___________________________
  Team Manager __________________________ Address _______________________________
  City___________________ Zip ______ Hm. Ph.# ________________ Cel/Pgr ______________
  email:__________________________________________                                 Wk.Ph.#: _____________________
  Form of payment:                 CASH            CHECK (w/driver's lic.)                     VISA       MASTERCARD
                  Checks returned for lack of funds or credit card denied will disqualify the team from the program.

  Credit Card #: _________________________________________________ Exp: ____________
  Cardholder's Signature: ____________________________________________


                                                     VOLLEYBALL
       Please check all that apply:                                     Please check one:
       [ ] Returning Team (NAME: _____________)                         [ ] REVERSE COED
       (50% of players returning from last season)                      [ ] 4-PLAYER WOMEN'S
       [ ] New Team

  PLEASE NOTE:
  · Leagues are open to both Men & Women 16 years of age and over. Participants under 18 years of age are required to
     complete an additional Youth Sports Parental Consent Form (available in the Sports Office)

  · All games are played at:
                                                   McCambridge Recreation Center
                                                   1515 North Glenoaks Boulevard
                                                              Burbank




                                      TEAM EVALUATION FORM
                                           (all teams please complete)

  PLEASE RATE YOUR TEAM TO ASSIST IN TEAM PLACEMENT.
  COMPETITIVE ATTITUDE ?
  CIRCLE ONE:           RECREATIONAL                  COMPETITIVE                         VERY COMPETITIVE
  OVERALL TEAM RATING?
  CIRCLE ONE:                       Beginner          Beg/Int          Intermediate       Advanced
  OTHER COMMENTS:




  TEAM MANAGER'S SIGNATURE:                                                     DATE:
   NOTE: Registration will be taken on a first come basis. No spots are reserved for returning teams.