VAI Non-League Player Registration Form
Affiliated to: FIVB, CEV, Olympic Council of Ireland
VAI Non-League Player Registration Form – 2016/17 Applicable for VAI Competitions excluding National League (Please fill in using BLOCK capitals)
First Name: Mandatory If you previously registered using a different surname please list surname used:
Surname: Mandatory Nationality:
Gender:
Date of Birth (if U-18):
Address: Phone:
Email:
BLOCK CAPITALS
IMPORTANT: Please confirm the following by ticking the appropriate box if you have been previously registered with another National Volleyball Federation before applying to register with the Volleyball Association of Ireland: I hereby confirm and agree that I am not registered with or on the transfer list of any other National Volleyball Federation and am free to register with the VAI for the 2016/17 season. I hereby confirm and agree that I have been previously registered with another National Volleyball Federation, that the relevant transfer documentation (and transfer payments where applicable) have been completed and I am available to register with the VAI for the current season. Club Affiliating with: Registered previously with the VAI (please tick)?
Yes:
No:
If Yes, please include reg #:
VAI_________
Association Cup Team Name: Junior/Intermediate Championships Team Name: Championships Mixed Recreational Team Name: Mixed League Team Name: Regional League:
Fee:
(Please specify League) (Please Specify League)
Please tick one Player Registration option for 2016/17: Option A Option B
VAI Player Registration including Personal Injury insurance Includes registration for all competitions this season listed above VAI Player Registration excluding Personal Injury insurance €5 registration to be paid per competition
Fee €20
Enclosed €
€5
€
I hereby consent to and agree: That when participating in VAI competitions, to do so in accordance with the Rules and Regulations of the VAI, (comprising of the Competition Rules, Constitution & Bye-Laws of the VAI); To be bound by the Rules and Regulations of the VAI, the VAI procedures and any decisions made in accordance with the Rules and Regulations including disciplinary and anti-doping matters and the Code of Ethics for Children in Sport, and; To permit my details to be stored in a VAI database and to be used for Volleyball purposes. The VAI have joined the CEV's "Fair Play Volleyball Way" campaign, reinforcing volleyball as a clean, fair, honest, family orientated sport (see the VAI website for details). You are expected to abide by the rules of the game in all regards including properly imposed sanctions, and to live up to the ideals of the campaign, and by signing below, you are indicating your commitment to this: The VAI policy is that doping is contrary to the spirit of sport and every member has a duty to ensure that the sport is free of doping. Be a Real Winner see http://isc.realwinner.org/. This player registration form will not be processed unless it is duly completed, signed by player, guardian (where applicable) and Club Secretary and received in the VAI Office with full payment (as above) and current player registration card (or passport sized photo which is necessary for a new card). The name given above must match your official form of identification (Passport, National Identity Card etc) Signed
Player
Signed
Guardian (if player is u18)
Signed
Club Secretary
Volleyball Association of Ireland, 141 Thomas St., Dublin 8. T +353 1 6707165; F +353 1 6707167; E [email protected]; W www.volleyballireland.com The Volleyball Association of Ireland Ltd. - Registered in Ireland - Company No: 317399
Date
VAI Non-League Player Registration Form – 2016/17 Applicable for VAI Competitions excluding National League (Please fill in using BLOCK capitals)
First Name: Mandatory If you previously registered using a different surname please list surname used:
Surname: Mandatory Nationality:
Gender:
Date of Birth (if U-18):
Address: Phone:
Email:
BLOCK CAPITALS
IMPORTANT: Please confirm the following by ticking the appropriate box if you have been previously registered with another National Volleyball Federation before applying to register with the Volleyball Association of Ireland: I hereby confirm and agree that I am not registered with or on the transfer list of any other National Volleyball Federation and am free to register with the VAI for the 2016/17 season. I hereby confirm and agree that I have been previously registered with another National Volleyball Federation, that the relevant transfer documentation (and transfer payments where applicable) have been completed and I am available to register with the VAI for the current season. Club Affiliating with: Registered previously with the VAI (please tick)?
Yes:
No:
If Yes, please include reg #:
VAI_________
Association Cup Team Name: Junior/Intermediate Championships Team Name: Championships Mixed Recreational Team Name: Mixed League Team Name: Regional League:
Fee:
(Please specify League) (Please Specify League)
Please tick one Player Registration option for 2016/17: Option A Option B
VAI Player Registration including Personal Injury insurance Includes registration for all competitions this season listed above VAI Player Registration excluding Personal Injury insurance €5 registration to be paid per competition
Fee €20
Enclosed €
€5
€
I hereby consent to and agree: That when participating in VAI competitions, to do so in accordance with the Rules and Regulations of the VAI, (comprising of the Competition Rules, Constitution & Bye-Laws of the VAI); To be bound by the Rules and Regulations of the VAI, the VAI procedures and any decisions made in accordance with the Rules and Regulations including disciplinary and anti-doping matters and the Code of Ethics for Children in Sport, and; To permit my details to be stored in a VAI database and to be used for Volleyball purposes. The VAI have joined the CEV's "Fair Play Volleyball Way" campaign, reinforcing volleyball as a clean, fair, honest, family orientated sport (see the VAI website for details). You are expected to abide by the rules of the game in all regards including properly imposed sanctions, and to live up to the ideals of the campaign, and by signing below, you are indicating your commitment to this: The VAI policy is that doping is contrary to the spirit of sport and every member has a duty to ensure that the sport is free of doping. Be a Real Winner see http://isc.realwinner.org/. This player registration form will not be processed unless it is duly completed, signed by player, guardian (where applicable) and Club Secretary and received in the VAI Office with full payment (as above) and current player registration card (or passport sized photo which is necessary for a new card). The name given above must match your official form of identification (Passport, National Identity Card etc) Signed
Player
Signed
Guardian (if player is u18)
Signed
Club Secretary
Volleyball Association of Ireland, 141 Thomas St., Dublin 8. T +353 1 6707165; F +353 1 6707167; E [email protected]; W www.volleyballireland.com The Volleyball Association of Ireland Ltd. - Registered in Ireland - Company No: 317399
Date
