Clinic Registration
Welcome to the Indiana Volleyball Academy's online Fall Clinic registration system.

To register,
simple select the clinic and then enter the required information.
To complete the registration process click on the SUBMIT button at the bottom of the page.

Clinic (*)
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Select a clinic.
Last Name (*)
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Enter the participant's last name.
First Name (*)
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Enter the participant's first name.
Grade Level (*)
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Select the school grade level the particpant is attending.
Name of School
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Enter the name of school the particpant is attending.

Parent Contact Information

Mother's Name
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Enter mother's full name.
Phone Number
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Enter the preferred contact phone number for the participant's mother.
Email Address
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Enter the participant's mother's email address
Father's Name
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Enter the father's full name.
Phone Number
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Enter the preferred contact phone number for the participant's father.
Email Address
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Enter the participant's father's email address.
Home Address
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Enter the participant's home street address.
Address continued
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Enter home address apartment or suite number if required.
CIty, State, Zip
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Enter participant's home address city, state and zip code.
Home Phone Number
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Enter your home telephone number.
Submission Code Submission Code
NEW SUBMISSION CODE
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Enter the submission code shown in the red box in the box below. If you are having trouble reading the code simple click NEW SUBMISSION CODE
Click Submit When Done