2021 State League & Divisions Athlete Registration

Name*
First Last
Email*
Enter Email Confirm Email
Address
Street Address City Zip Code
Mobile*
What is your age?*
Gender*
Are you a previous Reds Member?*
- Yes
- No
Which division(s) are you nominating to play for the Reds?*
- State League or State League Reserves
- Division 1 or Division 2
- Division 3, Division 4 or Division 5
What are your preferred playing positions?*
- Libero
- Setter
- Outside Hitter
- Middle Blocker
- Opposite
Playing Shirt - Male*
To assist in uniform pre-orders please select your playing shirt size (one playing shirt will be included in 2021 Reds Membership - Chest size indicated).
Playing Shorts - Male
Please select short size if you will require new 2021 Reds uniform playing shorts. (Waist Size indicated).
Playing Shirt - Female*
To assist in uniform pre-orders please select your playing shirt size (one playing shirt will be included in 2021 Reds Membership - bust size indicated).
Playing Shorts - Female
Please select short size if you will require new 2021 Reds uniform playing lycra shorts. (Hip Size indicated)
Volleyball WA Membership Status*
What is your current Volleyball WA Membership Status? * Please note all athletes that wish to be involved with the Reds Beach Volleyball program must have a Volleyball WA Gold or Platinum Membership.
- Platinum
- Gold
- Silver
- No Membership
Volleyball WA Membership Number*
Please enter your Volleyball WA Platinum or Gold Membership Number (Contact Code) in the field below. This membership provides athletes with Personal Accident Insurance. Your membership number is the Contact Code that can be found on your profile on the VWA Fortix website.
> FORTIX LINK
Your VWA membership status must be upgraded in order to play for the Reds. Please click on the link below to sign in or register on VWA’s Fortix system and purchase a Gold or Platinum Membership.
> FORTIX LINK Once you have your membership number please return to this form to register.
21-WAVL-TRIAL*
State League & Divisions Trials Fee - $30 (+$0.83 credit card fee)
Price:
Consent*
I understand that by registering for Reds I will be placed in a Reds or Reds Junior team and a letter of offer to join a team will be emailed to me. If I accept my offer in this team, I am stating my commitment to a Reds or Reds Junior team and will be required to pay full club fees.
I agree.
Please enter your Credit Card Details*
Card Details
Cardholder Name
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Reds Volleyball Association

Aquinas College Gym | Mount Henry Road, Salter Point | P.O. Box 102, Applecross, WA 6953

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