Chesapeake Region Registration Packet Request Form

USA Volleyball Chesapeake Region

Registration Packet Request Form

If you are a team rep and want to request a registration packet, print this form, fill in the information, and send it to the Registrar at the address given below. The packets will probably go out mid to late September. When you have finished printing, simply close this window. If you prefer to email your request, please include answers to all of the form's questions. Send email to CHRVA Registrar (registrar@chrva.org) .

Number of packets (1 per team) ______

Name________________________________________

Address________________________________________

City/Zip ______________________________________

Phone (home)____________________________________

Phone (work)____________________________________

E-mail__________________________________________

Possible Team Name ______________________________

Expected Level __________________________________

JoBeth Killough - Registrar
8434 Sugar Creek Lane
Springfield, VA 22153
jobeth.killough@chrva.org
registrar@chrva.org

Revised August 28, 2002