VAI Post-Primary Schools' Competition & Team Entry Form ... - AWS

VAI Post-Primary Schools’ Competition & Team Entry Form 2017/18 School Name: Address: Phone:

E-mail: 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 2018

2-Year SpikeBall 2-YEAR SPECIAL OFFER (SpikeBall Only) Until May 2018 Affiliation *1-Year Standard Affiliation

Can enter any/all VAI Schools competition(s), including SpikeBall Until May 2018

€30 €40 €55

Please indicate how many pupils are participating in volleyball/SpikeBall in your school NOTICE: 

Payment details on next page. No entries accepted unless all payments included.

Signed:

Date:

Enclosed

VAI Post-Primary Schools’ Competition & Team Entry Form 2017/18

School: Address:

Contact: E-mail: Mobile: SpikeBall Championships (12/09/17)

Junior Championships

* STANDARD AFFILIATION ONLY

(15/12/17 )

Cadette Championships (15/09/17

Senior Championships (15/09/17)

Girls

Boys

Mixed

1st Years 2nd Years *Contact:

Sub-Total

Phone:

Girls

Boys

1st year only Mini Volleyball (1 st & 2 nd years) Full Volleyball *Contact:

Cost €25 per team €25 per team

Sub-Total

Phone:

Cost €25 per team €25 per team

Girls Boys *Contact:

Sub-Total

Phone:

Cost €25 per team €25 per team

Girls Boys *Contact:

Sub-Total

Phone:

Girls

Senior Cup (15/09/2017)

Cost €15 per team €15 per team

Boys

*Contact:

Cost €25 per team

Sub-Total

Phone:

TOTAL (**€125 max):

TOTAL COST:

** €125 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. Affi l iation forms will only be processed with accompanying payment in f ull. Pa yment Methods (pl ea s e ti ck) Cheque ______ Pa ypa l ______ VAI’s Pa yPal a ccount e -mail a ddress is [email protected] Ba nk Tra nsfer _____ Account No: 65069922 Sort Code: 900973, IBAN number - IE 28 BOFI 9012 1265 0699 22, BIC - BOFIIE2D

Signed:

Date: