Arizona Lutheran Academy

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Junior Coyote Volleyball Club 2023

PARTICIPANTS: Girls entering grades 4-8

Grades 4-6 from 9:00-10:30 AM

Grades 7-8 from 10:45AM-12:15PM

COST:

$80 — for all six Saturdays

$75 — for any five Saturdays (your choice)

$70 — for any four Saturdays (your choice)

Does your child have an ESA account? This excerpt comes from the 2023-2024 ESA handbook:

Sports and educational camps provided by a credentialed individual or an accredited facility are approved. This should be categorized as Supplementary (No documentation needed).

Please pay out of pocket and seek reimbursement. Parents will need to verify with their Acceptiva receipt. (This receipt is emailed to you upon club registration.)

Contact ALA athletic director, Dave Peter, Peter@ALAcoyotes.org, for more information.

Six Saturday sessions:

August 19

August 26

September 2

September 9

September 16

September 23

Place:
Arizona Lutheran Academy gymnasium

Marketing Photos:

Will be taken on these Saturdays.

If you have questions, email Jen Bode at JBode@ALAcoyotes.org

Club Directors
Brad Bode
Arizona Lutheran Academy Varsity Volleyball Coach
Email: Bode@ALAcoyotes.org
Phone: 602-268-8686 ext. 118

Jade St. Germaine
Arizona Lutheran Academy JV Volleyball Coach
Email: Stgermaine@alacoyotes.org

Phone: 602-268-8686 ext. 114

One form per child. Choose all of the dates this child will attend.
*Cancellation fee is $5.

Qty

Description

Amount

Total

Registration for all six Saturdays

$80.00

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Registration for any five Saturdays

$75.00

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Select five from below.

Registration for any four Saturdays

$70.00

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Select four from below.

Total: $0.00

Select your Saturday Sessions:

August 19

August 26

September 2

September 9

September 16

September 23

Registration Information

Child's Name: *

School: *

Grade (4 - 8): *

T-Shirt Size: *

Parent Information

Parent Name: *

Address: *

City: *

State: *

Zip Code: *

Parent’s Phone (home): *

Parent’s Phone (work/cell): *

Medical Information

Please note any medical conditions or allergies:

Parent/Guardian Permission: Above said child(ren) has my permission to participate in the ALA Junior Coyote Volleyball Club indicated. I hereby take all responsibility concerning my daughter’s physical condition upon entering the ALA Junior Coyote Volleyball Club. I also authorize the staff to seek medical attention for my daughter if needed.

Parent/Guardian Permission: *

Check here to indicate that you have read, understand and agree to the terms of the Parent/Guardian Permission agreement above.

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *