Registration: Adult Volleyball

First Name:
Last Name:
Phone (515-XXX-XXXX):
Confirm Email:
How did you hear about this program?:
Are you registering as part of a team?:
Yes  No  
Select your division:
Competitive  Recreational  
We are pleased to provide childcare. Indicate the
names and ages of children utilizing childcare:
Release of Liability & Assumption of Risk
The use of the premises, facilities, equipment, and services at Ankeny First United Methodist Church naturally involves risk of injury to you or your guest, whether you or someone else cause it. As such, you understand and voluntarily accept this risk and agree that Ankeny First United Methodist Church will not be liable for any injury, including, without limitation, personal, bodily or mental injury, economic loss or any damage to you, your spouse, guests, unborn child, or relatives resulting from the negligence of Ankeny First United Methodist Church or anyone on Ankeny First United Methodist Church’s behalf or anyone using the facilities.

Type your name in this box that you agree to the above :