VAI Post-Primary Schools Affiliation Form 2015/16 *** Please complete using BLOCK capitals *** School Name: Address: E-mail: Phone:
Fax:
School Type:
Girls Only
Boys Only
Mixed
“This is our school’s first time to affiliate with the VAI”: Yes □ No □
Contact: PE Teacher
Volleyball Coach
Other (please state)
E-mail: Mobile: Affiliation Fee(s):
Please pick between the following affiliation packages: Description Fee 1-Year SpikeBall Affiliation
Playing SpikeBall only Until May 2016
2-Year SpikeBall 2-YEAR SPECIAL OFFER (SpikeBall Only) Until May 2017 Affiliation *1-Year Standard Affiliation
Can enter any/all VAI Schools competition(s), including SpikeBall Until May 2016
Enclosed
€25 €35 €55
*For schools taking part in competitions please list dates of school house and mock exams Christmas House Exams
Junior/Leaving Mock Exams
If you do not wish your contact details to be included on a list distributed to other schools interested in organising friendly matches please tick here: NOTICE:
Payment can be made by cheque or postal order (payable to the “Volleyball Association of Ireland”) or by PayPal (VAI’s PayPal account e-mail address is
[email protected]).
Signed:
Date:
VAI Post-Primary Schools’ Competition & Team Entry Form 2015/16 School: Address:
Contact: E-mail: Mobile: SpikeBall Championships (Entry Deadline: 24/9/15)
Junior Championships * STANDARD AFFILIATION ONLY
(Entry Deadline: 24/9/15)
Girls
*Contact:
Girls
Boys
A
B
C
*Contact:
Sub-Total
Cost €20 per team €20 per team
Sub-Total
Phone:
A
B
Girls Boys *Contact:
C
Cost €20 per team €20 per team
Sub-Total
Phone:
Girls
Senior Cup
Sub-Total
Phone:
Girls Boys
(Entry Deadline:
Boys
(Entry Deadline: 24/9/15)
Cost €20 per team €20 per team
*Contact:
Senior Championships
Cost €15 per team €15 per team Phone:
1st Years 2nd Years
(Entry Deadline:
24/9/15)
Mixed
1 Years 2nd Years
Cadette Championships 24/9/15)
Boys
st
*Contact:
Cost €20 per team
Sub-Total
Phone:
TOTAL (**€100 max):
TOTAL COST:
** €100 is the maximum payable amount per school per annum for team entry, regardless of the above teams numbers / sub-totals. NOTICE:
*Please give details of contact person for specific competitions if different from main contact listed.
Affiliation and Team Entry fees MUST be paid to the VAI for teams to be entered into the draw for each Competition.
Payment can be made by cheque or postal order (payable to the “Volleyball Association of Ireland”) or by PayPal (VAI’s PayPal account e-mail address is
[email protected]).
Signed:
Date: