2026 Fall Youth Volleyball Grades 3rd - 6th

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Fee: $80.00
Please read for important information - 
Primary Care Insurance is required for participation. Your registration will not be considered complete without primary care insurance information. 
Payment must be made with your online registration.
All unpaid registrations are automatically deleted. 
*Household Discount Policy*: The first registration per household is charged at full price. A household discount is applied to each additional registration from the same household. Please email to apply. 
While we do everything we can to accommodate special requests, we cannot guarantee non-medical requests will be granted. 
Please read our refund policy thoroughly before agreeing. 
We reserve the right to move your player to their correct age/ grade division. 
Primary Email and Group Chat Number must be a parent or Guardian's contact. 
WJLSA has a very limited number of scholarships available. We strive to help all youth who want to play on our teams, however, we are no longer able to fund full scholarships.
In order to be considered for a partial scholarship you must send your scholarship request to waldportjuniorleague@gmail.com prior to completing this form. 
Your request will be reviewed by  WJLSA and you will be notified ASAP regarding your request.
Thank you for your cooperation and understanding!
We are looking forward to the season!
Participant Information
*Grade Division *Select Grade they are going into*
*First Name
*Last Name
Gender
 Female 
 Male 
*Date of Birth
*Age on 8/1/2026
*Grade - Fall.of 2026
School
*Street Address
*City
State
*Primary Email
*Primary Mobile Phone Number
*Jersey Size
Participant Medical Information
*Medical Conditions/Allergies/ Concerns
*Special Needs/ Requests/ Information
Physician Name
Physician Phone
*Medical Insurance Carrier
*Insurance Policy #
*Emergency Contact Name
*Emergency Contact Relationship
*Emergency Contact Phone(s)
Parent / Guardian 1 Information
*Guardian 1 Full Name
*Relationship
*Street Address
*City
State
Zip Code
*Guardian 1 Email
Daytime Phone
Evening Phone
*Mobile Phone
Volunteer - Coach
  
Volunteer - Asst Coach
  
Volunteer - Concessions
  
Volunteer - Fundraising
  
Volunteer - Field Maintenance
  
Volunteer - Referee/Umpire
  
Volunteer - Special Projects
  
Coaching Experience
Officiating experience
Parent / Guardian 2 Information
Guardian 2 Full Name
Relationship
Daytime Phone
Mobile Phone
Volunteer - Coach
  
Volunteer - Asst Coach
  
Volunteer - Concessions
  
Volunteer - Fundraising
  
Volunteer - Field Maintenance
  
Volunteer - Referee/Umpire
  
Volunteer - Special Projects
  
Coaching Experience
Officiating experience
Concussion, Waiver/Release and Ethics, must be filled out before your player will be placed on the roster.
Concussion Fact Sheet - Click on blue hyperlink
Don't type in this field
*Head's Up Concussion Fact Sheet
 I have read the Head's Up Concussion Fact Sheet 
Medical Release and Waiver
I permit the above listed player to participate in WJLSA's Sports Program.
I authorize the Coach or authorized adult volunteer to obtain medical care for my player in my name in case of injury.
Further, I understand that I am required to carry primary medical insurance for the player listed above for the duration of the sports season.
As the parent/ legal guardian of said player I give full consent and approval for my child to participate as a team member in WJLSA's Sports Program.
I understand there are certain risks of injury inherent in the practice and play of this sport as well as in traveling and other related activities incidental to my child's participation and I am willing to assume these risks on behalf of my child. 
I, hereby certify that my child is fully capable of participating in the designated sport and that my child is healthy and has no physical or mental disabilities or infirmities that would restrict full participation in these activities. In addition to giving my full consent for my child's participation, I do hereby waive, release, and hold harmless the organization, Waldport Junior League Sports Association, it's officers, coaches, sponsors, supervisors, and representatives for any injury that may be suffered by my child in the normal course of participation in this Sports Program... whether the result of negligence or any other cause.  
*Waiver / Release
 I, hereby certify that I have read and agree with the Medical Release/ Waiver for my participant. 
Parent / Guardian Code of Ethics
I hereby pledge to provide support, care, and encouragement for my child participating in Waldport Junior League Sports Associations sport program by following this Parent/Legal Guardian Code of Ethics:

I will encourage good sportsmanship by demonstrating positive support for all players, coaches, volunteers, fans and game officials at every game and practice. 

I will treat all players, fans, opponents, coaches, volunteers and game officials with respect and dignity. 

I will never ridicule or yell at my child or other players, coaches, volunteers or game officials for making a mistake or losing a competition and I will respect the decision of game officials. 

I will praise my child for competing fairly and trying hard,

I will strive for improvement by positive reinforcement, not negative comments. 

I will place the emotional and physical wellbeing of my child ahead of my personal desire to win by accepting both victory and defeat with pride and compassion. 

I will teach my child to play by the rules and to resolve conflicts without resorting to hostility.

I will encourage my child/player to treat other players, coaches, fans, volunteers and game officials with respect. 

I will refrain from coaching my child or other players during practices or games, unless I am an official coach of the team. 

I will support the coaches, volunteers and officials working with my child, in order to encourage a positive and enjoyable experience for all. 

I will support and honor the commitment my child/player has made to their coaches, teams, volunteers and WJLSA, by ensuring they are attending all games and practices.

I will respect all team, league and area sports association rules. 

I agree and understand that travel to and from games and practices is my sole responsibility.

I agree and understand that failure to follow the Parent/ Guardian Code of Conduct could result in my being asked to leave the practice and/or game and any further issues could result in suspension.  

I will demand a sports environment for my child that is free of drugs, tobacco, and alcohol, and will refrain from their use at all youth sports events.

I agree to pay, or have paid, the required fee to play and understand that by signing up for the Sports Program, that I become a member of Waldport Junior League Sports Association, Inc.
*Parent/ Guardian Code of Ethics
 I, hereby certify that I have read and agree to follow the Parent/ Guardian Code of Ethics 
Refund Policy
Reund Policy - Please read
By submitting this registration - you are agreeing to the following policy: 
Refund Policy for Cancellations -
At WJLSA, we strive to offer flexibility and transparency with our refund policy.
Please review the following:
Before registration deadline: If a paid registration is cancelled before the registration deadline, a full refund will be issued.
After registration deadline: For Cancellations after the registration deadline, a full refund will be issued, minus a $20 cancellation fee.
After Equipment is Ordered: Once equipment (e.g., uniforms, insurance, gear) has been ordered for the season, cancellations will no longer be eligible for a refund. No refunds will be issued after equipment has been purchased by the league. 
Social Media Photo Release
*Social Media Photo Release
 YES, I give permission for my child’s photo to be posted on the Waldport Junior League's official social media platforms for promotional or celebratory purposes.  
 NO, I do NOT give permission for my child’s photo to be posted on social media. 
Would you like to make a donation towards a scholarship?
Scholarship donation
$ 
Household Discount - For use with 2nd or more household registration.  Must email to apply for code.
Please enter code here
Statistics
How did you hear about this program?
Total Due:
$ 
Important: To receive a confirmation email, please enter your email address here

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Tina Strack, President
 waldportjuniorleague@gmail.com