Fall Sports Registration

Villa Vikings logo Registrations for Cross Country (Grades 1-6), Golf (Grades 5-6), and Girls' Volleyball (Grades 3-6) are due by May 10th, 2024.

To register your student, please complete the following:

1) Read the Elementary Sports policy and Roles and Responsibilities of Parents and Children Participating in VMA Athletics found in the Elementary School Handbook.

2) Complete the registration form below. Please complete one form per child.

3) Send in the sports participation fee. The participation fee is $100 per sport per child.

4) You will receive an email with more information from your child's coach closer to the start of the season. Coaches are selected by the Athletic Department.

If you have any questions, please contact the Elementary VMA Athletic Director, Ashley Froelicher at 331-6333 extension 503 or email [email protected].

Student Information

First Name*

Answer Required

Last Name*

Answer Required

Registering for which sport?*

Answer Required

Cross Country

Golf

Girls' Volleyball

Contact Information

Parent/Guardian First Name*

Answer Required

Parent/Guardian Last Name*

Answer Required

Email *

Answer Required

Mobile Phone*

Number Required

Home Phone

Number Required

Work Phone

Number Required

Contact Information

Parent/Guardian First Name

Answer Required

Parent/Guardian Last Name

Answer Required

Mobile Phone

Number Required

Home Phone

Number Required

Work Phone

Number Required

Address

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Pediatrician Name and Number*

Answer Required

Allergies*

Answer Required

Please answer yes/no and list any conditions.*

Answer Required

I agree to the following:*

Answer Required

My child has had a recent physical and is fit to participate.

I have the necessary insurance to cover any accident or injury that may occur at the sport and will not hold Villa Madonna Academy or the coaching staff responsible for accident or injury.

My student athlete promises to follow instructions and abide by the rules given to me by the coach.

As a parent of a VMA athlete, I will abide by the Parent Code of Conduct.

I will attend the Parent Meeting held at the beginning of the season.

By submitting this form, I agree to allow my child to participate in VMA Athletics and agree to abide by all rules/policies of the school and Athletic Department.*

Answer Required

Yes

Name of Parent/Guardian completing this form:*

Answer Required

Interested in coaching? (Coaches must be Virtus compliant, have CPR-AED/First Aid training, attend coaches meetings, and follow the Rules for Coaching/Pledge form.)

Yes or No

Answer Required

Please list your contact information and coaching experience:

Answer Required

Please fix the highlighted areas below before submitting.

Fall Sports Registration