VOLLEYBALL REGISTRATION
REGISTRATION FEE
Name:
Date of Birth (mm/dd/yy):
Address:
City: State: Zip:
Phone (xxx-xxx-xxxx): home
Phone (xxx-xxx-xxxx): work
Phone (xxx-xxx-xxxx): cell
E-Mail:
Gender:
T-shirt Size:
Skill:
Motivation:
How did you hear about us?
Are you registering with someone?
If yes, please provide name:
I have read the Waiver & Release of Liability (below):

$20 per person OR $35 for a 2-person entry
Pay by Friday, February 3rd. Bring cash or check payable to GNBC.
LOCATION
Good News Baptist Church
1203 3rd Avenue SW
Cedar Rapids, IA 52404
319.366.2656
SCHEDULE
There is still time to register! Our first night of play is Friday, February 3rd, and we normally play twice per month.
Feb 3
Feb 17
Mar 2
Mar 16
Mar 30
Apr 20
May 4
Regular Season Games
Regular Season Games
Regular Season Games
Regular Season Games
Regular Season Games
Regular Season Games
Playoffs & Final Games
6:30 - 8:00 pm
6:30 - 8:00 pm
6:30 - 8:00 pm
6:30 - 8:00 pm
6:30 - 8:00 pm
6:30 - 8:00 pm
6:30 - 8:00 pm
KIDS
We have FREE sitting available to watch kids up to age 10.
WAIVER & RELEASE OF LIABILITY
In consideration of being allowed to participate in any way in the GNBC Volleyball League, I hereby agree that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist;

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation;

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately;

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS GOOD NEWS BAPTIST CHURCH, their officers, officials, agents, and/or employees, other participants, and, if applicable, owners, and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
© 2011 Good News Baptist Church, Cedar Rapids, IA, 319.366.2656