test 2017 MAINE JUNIORS REGIONS Choose Your Region * Southern (Portland/Saco based) Northeast (Ellsworth based) PLAYER CONTACT INFORMATION Player First Name * Player Last Name * Contact Phone # for Tryout Results * Format (###) ###-#### Player E-Mail Address * Player Home Phone * Format (###) ###-#### Player Cell Phone Format (###) ###-#### Player Street Address * City * Zip Code * Player Birthdate * AGE ELIGIBILITY Eligibility is based on your birthdate as outlined by USAV. VIEW THE CHART You are eligible for: Select the age for which you want to tryout. You should check the lowest age group for which you are eligible based on your birthdate. 12U 12U 13U 13U 14U 14U 15U 15U 16U 16U 17U 17U 18U 18U 12U We are not taking registration for 12U teams yet. 12U teams begin in January. 13U & 14U - Intended for Middle Schoolers Check all teams for which you'd like to be considered. 13/14G 13/14 Gold (3 practices/week) – 7 tournaments $1,525 13/14SV 13/14 Silver (3 practices/week) - 7 tournaments $1,525 13/14BZ 13/14 Bronze (2 practices/week) - 5 tournaments $710 13/14CP 13/14 Copper (2 practices/week) - 5 tournaments $710 13/14CLUBx2 13/14 Club 2x (2 practices/week) - 5 tournaments $710 13/14CLUBx1 13/14 Club 1x (1 practices/week) - 5 tournaments $595 MS Local 13/14 Local (1 practices/week) - local scrimmages only $390 18 National - Open to Any Age Open to anyone who wants to tryout. 18N 18 National ELITE TEAM (OPEN TO ALL - 3 practices/week) - 10 tournaments $2,325 15U - Intended for Freshman Check all teams for which you'd like to be considered. 15N 15 National (3 practices/week) – 9 tournaments $1,880 15SK 15 Sky (2 practices/week) - 5 tournaments $855 16U - Intended for Sophomores Check all teams for which you'd like to be considered. 16N 16 National (3 practices/week) - 10 tournaments $2,180 16CP 16 Copper (2 practices/week) - 5 tournaments $855 15U & 16U - Intended for Freshman & Sophomores Check all teams for which you'd like to be considered. 15/16G 15/16 Gold (3 practices/week) - 9 tournaments $1,880 15/16SV 15/16 Silver (2 practices/week) - 8 tournaments $$1,550 15/16BZ 15/16 Bronze (2 practices/week) - 5 tournaments $855 15/16CLUBX2 15/16 Club 2x (2 practices/week) - 5 tournaments - 15/16 Blue, 15/16 Navy $855 15/16CLUBX1 15/16 Club 1x (1 practices/week) - 5 tournaments - 15/16 Columbia, 15/16 Azure, 15/16 Cobalt $725 17U - Intended for Juniors Check all teams for which you'd like to be considered. 17N 17 National (3 practices/week) – 10 tournaments $2,325 17SK 17 Sky (2 practices/week) - 5 tournaments $855 18U - Intended for Seniors Check all teams for which you'd like to be considered. 18R 18 Regional (2 practices/week) - 7 tournaments $1,425 18BL 18 Blue (2 practices/week) - 8 tournaments $855 17U & 18U - Intended for Juniors & Seniors Check all teams for which you'd like to be considered. 17/18G 17/18 Gold (3 practices/week) - 9 tournaments $1,880 17/18S 17/18 Silver (2 practices/week) - 8 tournaments $1,550 17/18W 17/18 White (1 practices/week) - 5 tournaments $725 High School Local Teams Check all teams for which you'd like to be considered. HS Lx2 HS Local 2x (2 practices/week) - local scrimmages only $540 HS Lx1 HS Local 1x (1 practices/week) - local scrimmages only $420 NORTHEAST TEAMS Northeast Tryouts 14 NE - 5 tournaments 16 NE - 5 tournaments 18 NE - 5 tournaments Payment Due for Tryout Registration Tryout Fee Dues Deposit Tryouts Total $ FIRST PARENT CONTACT INFORMATION Parent 1 Last Name * Parent 1 First Name * Parent 1 Home Phone Number * Format (###) ###-#### Parent 1 Cell Phone Number * Format (###) ###-#### Parent 1 E-Mail Address * Parent 1 Alternate E-Mail Address Parent 1 Employer Parent 1 Occupation SECOND PARENT CONTACT INFORMATION Parent 2 Last Name Parent 2 First Name Parent 2 Home Phone Number Format (###) ###-#### Parent 2 Cell Phone Number Format (###) ###-#### Parent 2 E-Mail Address Parent 2 Alternate E-Mail Address Parent 2 Employer Parent 2 Occupation PLAYER INFORMATION School Grade * - Grade - 12 11 10 9 8 7 6 5 4 School Name * - Select School - Biddeford High School Biddeford Middle School Brown Elementary School Brunswick Junior High School Bucksport High School Calais High School Camden Rockport Middle School Cape Elizabeth High School Cape Elizabeth Middle School Cheverus High School Conners Emerson School Deering High School Dunn School Ellsworth High School Ellsworth Middle School Falmouth High School Falmouth Middle School Frank H Harrison Middle School Freeport High School Gorham High School Gorham Middle School Gray New Gloucester High School Greely High School Greely Middle School Harriet Beecher Stowe Harrison Middle School Holy Cross Home Schooled Jonesport-Beals High School Jordan Small Middle School Kennebunk High School Kennebunk Middle school King Middle School Leavitt Area High School Lincoln Middle School Memorial Middle School Mount Desert Elementary School Mount Desert Island High School Oxford Hills Comprehensive High School Pemetic Elementary Saco Middle School Sanford High School Scarborough High School Scarborough Middle School Sea Road School South Portland High School Thornton Academy Washington Academy Waynflete School Windham High School Windham Middle School Wiscasset Christian Academy Yarmouth High School Yarmouth Middle School Other School Name School Volleyball Coach School Sports Other Sports/Hobbies Explain why you are interested in Club volleyball (2 - 3 sentences). Please be brief What qualities and skills do you hope to acquire during this Club season? Please be brief How long have you played volleyball and with whom? Please be brief What qualities do you have that will help you become a successful player? Please be brief Name 2 or 3 ways, other than playing, that you will help your team and the program be successful? Please be brief Is there anything else you would like us to know about you? Please be brief Describe your general health. Have you had any injuries? * Height * - Select Height - 4' 6" 4' 7" 4' 8" 4' 9" 4' 10" 4' 11" 5' 0" 5' 1" 5' 2" 5' 3" 5' 4" 5' 5" 5' 6" 5' 7" 5' 8" 5' 9" 5' 10" 5' 11" 6' 0" 6' 1" 6' 2" Over 6' 2" Dominant Hand * Right Left "I would like to play volleyball in college." Check one. * Strongly Agree Agree Neutral/Undecided Disagree POSITION PREFERENCE What is your preferred position * - Select Position - No Preference Libero/Defensive Specialist Middle Hitter Outside Hitter Right Side/Opposite Hitter Setter Why this primary position? Please be brief Is there a second position you would enjoy learning and perhaps playing? * - Select Position - No Preference Libero/Defensive Specialist Middle Hitter/Blocker Outside Hitter Right Side/Opposite Hitter Setter Why this position? Please be brief Order Uniforms All players are required to have a NAVY jersey and team spandex. Elite teams, any teams going to Winterfest or out of region tournaments, and liberos need a WHITE jersey in addition to the navy jersey. If you have a uniform from last year that is in good condition and fits properly, you do not need to order a uniform. Do you need a uniform (jersey or spandex)? * Yes No Jersey Size XS S M L XL 2XL Navy Jersey Qty All Teams White Jersey Qty Elite Teams Spandex Size XS S M L XL 2XL Spandex Qty All Teams Uniform Total $ Agreement Statement Maine Juniors is a volleyball club dedicated to fostering the values that support our core culture: We exhibit care and concern, respect and support for each athlete, their parents and each other. We exhibit a high level of sportsmanship. We realize and encourage the value of being the best teammate each player can be. We understand that (1) and (2) above take precedent over winning. We exhibit pursuit of on-court and off-court excellence. We exhibit pursuit of organizational excellence. In order for us to continue to adhere to these values and strengthen our culture as a club, it is important that EVERYONE involved, including players and parents, commit to these values as well. Please indicate your commitment to the club and understanding of these expectations by checking the box below. PARENTS AND PLAYERS: Review the Practice, Tournament and Cost Information and make sure you understand the level of commitment required for the team(s) for which you selected above. You and your parent will be asked to verify and sign the information given here at your first tryout session. 1. We understand and agree that by trying out for a Maine Juniors Volleyball Club team we commit to expectations of regular attendance, behavior acceptable to the Club, good sportsmanship and that we will meet our financial requirement in full*. Failure to abide by any of the above stated Club expectations and respective parent and player obligations may result in the player's suspension or termination at the discretion of the Director. *Because parents and players understand that the Club depends on the income from those who accept a spot on a team, they further agree that payments will be paid according to the schedule of payments set by Maine Juniors unless the Director, John Razsa, or his agent, has approved an alternative payment plan in writing. This financial commitment is binding only once a player or parent (family) makes a verbal commitment to a coach who has offered a position on a team. We have never, and will never, retain a dues deposit or team payment from a player/family who does not accept a spot on a team. However, once accepted, another player cannot be offered that position and all commitments, including terms of payments, are binding. 2. I hereby give my consent to Maine Juniors administrators, coaches or volunteers to photograph, film, videotape and then use, reproduce, and publish images of me and/or my child. I hereby release the Maine Juniors Volleyball Club and his/her legal representatives and assigns from any and all claims whatsoever in connection with the use, reproduction, publication of the images thereof. I understand that if I would like to not have my player’s pictures published in any way, that I may request a release from the Maine Juniors Volleyball club that clarifies and formalizes my request. This applies as well to basic information about my player which may be used in award and other announcements made by the club, to include Name, height, MJ Team, grade and volleyball related information like reach and vertical. Your Agreement * I HAVE REVIEWED THIS INFORMATION WITH MY PARENT AND we understand and agree that by trying out for a Maine Juniors Volleyball Club team we agree to expectations of regular attendance, behavior acceptable to the Club, good sportsmanship and that we will meet our financial requirement in full. Failure to abide by any of the above stated Club expectations and respective parent and player obligations may result in the player's suspension or termination at the discretion of the Director. FINAL TOTAL * $ If you are human, leave this field blank.
