2011-12 GIRLS BLACK HILLS JUNIOR OLYMPIC VOLLEYBALL PROGRAM
Age Definitions for 2011-12 Club Season
***BEFORE TRYOUTS PLEASE GO TO www.blackhillsjuniors.com AND LOOK UNDER THE
AGE DEFINITION TAB TO KNOW WHAT AGE GROUP YOUR DAUGHTER CAN TRYOUT
FOR***
TRYOUT TIMES AND DATES
LOCATION FOR 12,13 AND 14 WEST MIDDLE SCHOOL
12,13,14 AND UNDER NOVEMBER 19TH 3:00-6:00PM AND NOVEMBER 20ST 6:00-9:00PM
LOCATION FOR 15,16,17,AND 18 DAKOTA MIDDLE SCHOOL
15,16 AND UNDER DECEMBER 3RD and 4th 2:30PM-5:30PM (Both Days)
17,18 AND UNDER DECEMBER 3RD and 4TH 11:00PM-2:00PM (Both Days)
LOCATION FOR DEC-MAY DAKOTA MIDDLE SCHOOL
ALL AGES DEC-MAY TEAMS DECEMBER 3RD and 4th 6:00PM-8:00PM (Both Days)
*PLAYERS CAN TRYOUT FOR ANY AGE GROUP*
*TRYOUT FEE - $10.00* NONREFUNDABLE (CASH ONLY)*
*Parent or Guardian Signature Required for Tryout*
2011-12 BLACK HILLS JUNIOR OLYMPIC VOLLEYBALL TRYOUT REGISTRATION FORM
Name__________________________ Age Group Trying out for_____________
Email_________________________________________________
Parent/Guardian Name_____________________________________________
Home Phone__________________ Birth Date____________ Age______ Grade Now In_________
School Attending___________________ Height________ Positions Played (setter,
hitter,etc)____________
Emergency Contact and Phone Number___________________________
Father or Mother’s Insurance Co__________________ Policy
Number______________________________
Insurance Cardholder Signature___________________________________
I, the parent/guardian of the registrant agree that the registrant and I will abide by all the rules and regulations of the Black Hills Juniors a member of
the North Country region. I hereby release, discharge and/or otherwise indemnify BHJrs its affiliated organizations and sponsors, their employees and
the associated personal including the owners of the facilities used for the program, against any claim by or on behalf of the registrant as a result of the
registrant’s participation in the program; provided however, that nothing contained herein shall release or discharge BHJrs from negligence or the
negligence or its employees or officers.I also, hereby specifically state that the above named registrant is physically fit to play volleyball and further give
my consent for emergency medical care for said registrant prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be
given under whatever conditions are necessary to preserve the life, limb, or well being of said registrant.
Parent Signature (if under the age18)________________________________Date________________
Any Questions Please contact Kylie Voorhees at 605-390-1363 or email klebeda1@hotmail.com
*PLEASE SEE www.blackhillsjuniors.com website under About Us tab for all
information on tourneys and cost. Also look at parent player meeting tab for
Mandatory meeting for all teams. Schedule is updated for 2011-2012 season.