SIGNING NIGHT DETAILS 2017-2018 Season Signing Package MANDATORY MEETING: MONDAY, NOVEMBER 13, 2017 ALL MEETINGS WILL TAKE PLACE AT THE XCELERATION SPORTS FACILITY, 360 FERRY STREET, MARTINEZ MEETING TIMES ARE AS FOLLOWS: 6:00PM 7:00PM 7:15PM 8:15PM 8:30PM 9:30PM 12BLUE, 13BLUE, 13WHITE, 14BLUE, 14WHITE 15BLUE, 15WHITE, 16BLUE, 16WHITE 17BLUE, 18BLUE, 18WHITE. ALL PLAYERS AND AT LEAST ONE PARENT OR GUARDIAN MUST ATTEND. NOTE SINCE YOU DID NOT REGISTER AS A MEMBER OF XCELERATION WITH THE NCVA PRIOR TO TRYOUTS YOU MUST GO BACK INTO THE NCVA SITE AND AFFILIATE YOURSELF WITH XCELERATION. FORMS THAT NEED TO BE FILLED OUT ARE IN THIS SIGNING PACKAGE, OR ON OUR WEBSITE (www.xcelerationvbc.com) UNDER FORMS. PRINT AND COMPLETELY FILL OUT ALL FORMS PRIOR TO COMING TO THE MEETING TO HELP THINGS RUN SMOOTHLY! PRINT OUT and COMPLETE the NCVA Letter of Commitment and USAV Medical Release forms (click links). These are also available on the Xceleration website. FIRST INSTALLMENT AND TRAVEL DEPOSITS (IF APPLICABLE) MUST BE PAID (checks or cc accepted). PLAYERS WILL BE TRYING ON UNIFORMS AND SWEATS FOR SIZING. TEAMS WILL BE MEETING WITH THEIR RESPECTIVE COACHES NEAR THE END OF EACH SESSION. FORMS CHECKLIST (BRING THESE FORMS TO YOUR SIGNING MEETING COMPLETELY FILLED OUT): 1. NCVA Letter of Commitment (fill in, but don't sign until meeting) [Xceleration website or link above] 2. USAV Medical Release Form [Xceleration website or link above] 3. Xcel Contact Information [Attached] 4. Xcel Commitment Contract [Attached] 5. Xcel Waiver of Liability for Gym Use [Attached] 6. Xcel CC Authorization Form [Attached PRINT APPLICABLE TEAM PAGE ONLY] 1
CONTACT INFORMATION 2017-2018 Season Signing Package XCELERATION TEAM (circle) 12 13 14 15 16 17 18 BLUE WHITE PLAYER: LAST NAME FIRST NAME STREET ADDRESS CITY ZIP HOME PHONE SCHOOL PLAYER CELL GRADE PLAYER E-MAIL PARENT: LAST NAME FIRST NAME STREET ADDRESS CITY ZIP HOME PHONE MOTHER S CELL MOTHER S E-MAIL PARENT: LAST NAME FIRST NAME STREET ADDRESS CITY ZIP HOME PHONE FATHER S CELL FATHER S E-MAIL 2
COMMITMENT CONTRACT By signing below, player and parent agree to the following with the Xceleration Volleyball Club: 1. The player commits to playing with Xceleration Volleyball Club 2. To pay all fees associated with the Club for dues per the schedule received on Signing Night. If the player chooses to leave the club during the season for any reason, the full season s fees remain the responsibility of the player and parents. 3. To pay all fees associated with the club for travel by the due dates. In the event that a player does not attend a travel tournament, they are still responsible for their share of the coaches and team costs. If air travel is involved, once ticketed the air fare is non-refundable. 4. No refunds can be given for dues or travel for any reason. 5. A processing fee of $35 will be charged for all returned checks. 6. To abide by all rules posted in the Xceleration Club Handbook. TEAM: Player Name (print): Player Parent Name (print): Parent 3
WAIVER OF LIABILITY FOR GYM USE I/We hereby understand and acknowledge that the training, programs and events held by the Xceleration VBC may expose me to many inherent risks, including accidents, injury, illness, or even death. I/We assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, and all other such risks being known and appreciated by me. I/We hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I/We acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and the Xceleration VBC furnishing services to me, I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE the Xceleration VBC, Xceleration Sports Facility/NorCal Courts Martinez, their officers, agents, employees, organizers, representatives, and successors from any responsibility, liabilities, demands, or claims of any kind arising out of my participation in the Xceleration VBC training, programs and/or events. By my signature I/We indicate that I/We have read and understand this Waiver of Liability. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms. Participant s Name (Please Print): Participant s _ In case of emergency: Contact Name: (Parent's signature if under 18 years of age) I represent that I have legal capacity and authorize to act on behalf of the minor named herein. Parent/Guardian 4
CREDIT CARD AUTHORIZATION FORMS PRINT APPLICABLE PAGES FOR YOUR DAUGHTER S ASSIGNED TEAM ONLY 5
CREDIT CARD AUTHORIZATION FORM 12 BLUE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2017 $750.00 2 nd Installment Club Dues January 8, 2018 $375.00 3 rd Installment Club Dues March 5, 2018 $375.00 Your card will only be charged if the amount due is not received by the Due Date. 6
CREDIT CARD AUTHORIZATION FORM 13 BLUE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2017 $1,500.00 2 nd Installment Club Dues January 8, 2018 $750.00 3 rd Installment Club Dues February 5, 2018 $750.00 4 th Installment Club Dues March 5, 2018 $750.00 Far Western Qualifier March 5, 2018 $TBD Your card will only be charged if the amount due is not received by the Due Date. You will receive a DETAILED breakdown of the travel costs in the form of an invoice, prior to your card being charged. 7
CREDIT CARD AUTHORIZATION FORM 13 WHITE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2017 $1,100.00 2 nd Installment Club Dues January 8, 2018 $550.00 3 rd Installment Club Dues February 5, 2018 $550.00 4 th Installment Club Dues March 5, 2018 $550.00 Far Western Qualifier March 5, 2018 $TBD Your card will only be charged if the amount due is not received by the Due Date. You will receive a DETAILED breakdown of the travel costs in the form of an invoice, prior to your card being charged. 8
CREDIT CARD AUTHORIZATION FORM 14 BLUE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2017 $1,500.00 2 nd Installment Club Dues January 8, 2018 $750.00 3 rd Installment Club Dues February 5, 2018 $750.00 4 th Installment Club Dues March 5, 2018 $750.00 Colorado Qualifier January 9, 2018 $TBD Far Western Qualifier March 6, 2018 $TBD JVA West Coast Cup April 7, 2018 $TBD Your card will only be charged if the amount due is not received by the Due Date. You will receive a DETAILED breakdown of the travel costs in the form of an invoice, prior to your card being charged. 9
CREDIT CARD AUTHORIZATION FORM 14 WHITE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2018 $1,400.00 2 nd Installment Club Dues January 8, 2018 $700.00 3 rd Installment Club Dues February 5, 2018 $700.00 4 th Installment Club Dues March 5, 2018 $700.00 Colorado Qualifier January 9, 2017 $TBD Far Western Qualifier March 6, 2017 $TBD Your card will only be charged if the amount due is not received by the Due Date. You will receive a DETAILED breakdown of the travel costs in the form of an invoice, prior to your card being charged. 10
CREDIT CARD AUTHORIZATION FORM 15 BLUE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2017 $1,640.00 2 nd Installment Club Dues January 8, 2018 $820.00 3 rd Installment Club Dues February 5, 2018 $820.00 4 th Installment Club Dues March 5, 2018 $820.00 Travel Deposit ** November 13, 2017 $500.00 SLC National Invitational December 15, 2017 $TBD Colorado Qualifier January 9, 2018 $TBD Far Western Qualifier March 6, 2018 $TBD NCVA PL Regionals March 20, 2018 $TBD JVA West Coast Cup April 7, 2018 $TBD JN/AAU Nationals TBD $TBD ** Paid at Signing Night. Your card will only be charged if the amount due is not received by the Due Date. You will receive a DETAILED breakdown of the travel costs for the in the form of an invoice, prior to your card being charged. 11
CREDIT CARD AUTHORIZATION FORM 15 WHITE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2017 $1,500.00 2 nd Installment Club Dues January 8, 2018 $750.00 3 rd Installment Club Dues February 5, 2018 $750.00 4 th Installment Club Dues March 5, 2018 $750.00 Colorado Qualifier January 9, 2018 $TBD Far Western Qualifier March 6, 2018 $TBD NCVA PL Regionals March 20, 2018 $TBD JVA West Coast Cup April 7, 2018 $TBD Your card will only be charged if the amount due is not received by the Due Date. You will receive a DETAILED breakdown of the travel costs in the form of an invoice, prior to your card being charged. 12
CREDIT CARD AUTHORIZATION FORM 16 BLUE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2017 $1,640.00 2 nd Installment Club Dues January 8, 2018 $820.00 3 rd Installment Club Dues February 5, 2018 $820.00 4 th Installment Club Dues March 5, 2018 $820.00 Travel Deposit ** November 13, 2017 $500.00 SLC National Invitational December 15, 2017 $TBD Colorado Qualifier January 9, 2018 $TBD Far Western Qualifier March 6, 2018 $TBD NCVA PL Regionals March 20, 2018 $TBD JVA West Coast Cup April 7, 2018 $TBD JN/AAU Nationals TBD $TBD ** Paid at Signing Night. Your card will only be charged if the amount due is not received by the Due Date. You will receive a DETAILED breakdown of the travel costs in the form of an invoice, prior to your card being charged. 13
CREDIT CARD AUTHORIZATION FORM 16 WHITE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2017 $1,500.00 2 nd Installment Club Dues January 8, 2018 $750.00 3 rd Installment Club Dues February 5, 2018 $750.00 4 th Installment Club Dues March 5, 2018 $750.00 Las Vegas Classic December 15, 2017 $TBD Colorado Qualifier January 9, 2018 $TBD Far Western Qualifier March 6, 2018 $TBD NCVA PL Regionals March 20, 2018 $TBD JVA West Coast Cup April 7, 2018 $TBD Your card will only be charged if the amount due is not received by the Due Date. You will receive a DETAILED breakdown of the travel costs in the form of an invoice, prior to your card being charged. 14
CREDIT CARD AUTHORIZATION FORM 17 BLUE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2017 $1,640.00 2 nd Installment Club Dues January 8, 2018 $820.00 3 rd Installment Club Dues February 5, 2018 $820.00 4 th Installment Club Dues March 5, 2018 $820.00 Travel Deposit ** November 13, 2017 $500.00 SLC National Invitational December 15, 2017 $TBD Colorado Qualifier January 9, 2018 $TBD Far Western Qualifier March 6, 2018 $TBD NCVA PL Regionals March 20, 2018 $TBD JVA West Coast Cup April 7, 2018 $TBD JN/AAU Nationals TBD $TBD ** Paid at Signing Night. Your card will only be charged if the amount due is not received by the Due Date. You will receive a DETAILED breakdown of the travel costs in the form of an invoice, prior to your card being charged. 15
CREDIT CARD AUTHORIZATION FORM 18 BLUE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2017 $1,640.00 2 nd Installment Club Dues January 8, 2018 $820.00 3 rd Installment Club Dues February 5, 2018 $820.00 4 th Installment Club Dues March 5, 2018 $820.00 Travel Deposit ** November 13, 2017 $500.00 SLC National Invitational December 15, 2017 $TBD Golden State Qualifier January 9, 2018 $TBD Colorado Qualifier January 9, 2018 $TBD Junior Nationals March 6, 2018 $TBD JVA West Coast Cup April 7, 2018 $TBD ** Paid at Signing Night. Your card will only be charged if the amount due is not received by the Due Date. You will receive a DETAILED breakdown of the travel costs in the form of an invoice, prior to your card being charged. 16
CREDIT CARD AUTHORIZATION FORM 18 WHITE In addition to cash and check, Xceleration VBC accepts MasterCard and Visa as forms of payment. By signing below, I hereby give my permission to the Xceleration VBC to charge my credit card (plus 3% processing fee) for the following: 1 st Installment Club Dues November 13, 2017 $1,500.00 2 nd Installment Club Dues January 8, 2018 $750.00 3 rd Installment Club Dues February 5, 2018 $750.00 4 th Installment Club Dues March 5, 2018 $750.00 Las Vegas Classic December 15, 2018 $TBD Colorado Qualifier January 9, 2018 $TBD Golden State Qualifier January 9, 2018 $TBD Far Western Qualifier March 6, 2018 $TBD NCVA PL Regionals March 20, 2018 $TBD JVA West Coast Cup April 7, 2018 $TBD Your card will only be charged if the amount due is not received by the Due Date. Please understand that these authorization amounts are the MAXIMUM amounts that you might have to pay when it comes to the Qualifiers. Should the travel costs be less, your card will only be charged that lesser amount. You will receive a DETAILED breakdown of the travel costs for the Qualifiers in the form of an invoice, prior to your card being charged. 17