CLUB INFORMATION FORM


Complete the Club Information Form below to register a new club or renew/update the information of an existing club.

 

NOTE: Existing clubs must renew their club information using the form below each year!

 

Call our Region Office at (352) 742-0080 with questions.

 

 

CLUB INFORMATION

Club Status:

 

Club Type:

 

Club Name:

 

Legal Corporate Name:

 

Business Type:

 

State Where Registered:

 

State ID #:

  (Enter your FEIN # or State Document #)

  Your State Document number can be found here: www.sunbiz.org

Club Director 1:

 

Note: This is your primary point of contact!  All information will be sent to this person.

Club Director 2:

 

Mailing Address:

 

City/State/Zip:

 

Office Phone:

  Include on Website:  

Cell Phone:

  Include on Website:  

Fax Number:

  Include on Website:  

E-Mail Address:

 

Website Address:

 

Gender:

 

District:

  CLICK HERE to see the District Map for the Florida Region.

Club Code:

  Enter a 5 DIGIT club code for your club. (TEXT ONLY)

OTHER INFORMATION

Method of Payment:

 

Comments:

 

(Include any additional information or comments here)

 

   

Person Submitting Information:

 

(SELECT "YES-I AGREE" BELOW ONLY AFTER READING THE JR. ADMIN MANUAL & THE JR. HANDBOOK.   CLICK HERE)

Agreement:

 

By clicking "YES-I AGREE" above, I am agreeing that I have read, understand, and agree to abide by the Florida Region policies and procedures.  I also agree that I am legally authorized to sign up the above listed club and that our club, its members, and its leadership will also abide by the rules of the organization.  I realize that our club's "good standing" status may be suspended for a violation, per the Florida Region Bylaws & Incident Review Policy. 

I agree that all club literature and my club website will include the following text: 

“We are a member club of the Florida Region of USA Volleyball. As a player you may stop any unwanted contact

from a club representative by simply asking (either verbally or in writing) that all contact cease. Any player

believing a club representative of any Florida Region volleyball club has been intimidating, harassing, or acted

inappropriately in any manner of contact or recruiting should contact the Florida Region office at (352) 742-0080.”

Authorization

  Club Director COE

 

Fields in RED are required!  Once you have completed the form, click on the Submit button and your Club Information Form will be confirmed. 

 

 

Copyright © 1982-2010 Florida Region of USA Volleyball, Inc.

All Rights Reserved - James Phillips, Commissioner & Steve Bishop, Exec. Director/President

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