Indoor Season (07-08) Registration Form

Please fill out the form. Once you submit the form, print the confirmation page and bring it with you. Thanks!

* - Denotes required information

First Name*

Last Name*

Address 1*

Address 2

City*

State*

Zip Code*

Preferred Phone Number*

(eg, 617-123-4567)

E-Mail*

Email Subscription
(You will receive monthly email announcements, unless you select "No")

Yes

No

Emergency Contact Name

Emergency Contact Number

(eg, 617-123-4567)

Highest Level of Play*

Advanced

Intermediate

Recreational

Don't Know

Insurance Purchase*
(Purchase of insurance is required. Which of the following do you plan to purchase?)

CBVA Insurance ($10)

NAGVA Insurance ($25, also covers NAGVA membership fee for the year)

How did you learn about CBVA?

How long have you been playing with CBVA?

year(s)