Application For Sanction Of A Usa Volleyball Team Practice Form
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1
2USA Volleyball
2010-2011 Application for Sanction of a
Team Practice
Sanction #: WE10P
(For Office Use Only)
APPLICANT INFORMATION
Sponsoring Organization: ________________________________________________________________________________
Applicant Name: ______________________________________
E-mail: _______________________________________
Street: ______________________________________________________________________________________________
City: ______________________________________ State: __________
Zip Code: ____________________
Home #: ________________________
Work #: _________________________
Other #: _____________________
SITE INFORMATION (use another sheet if more sites are involved)
Person Responsible for Practice 1:
Person Responsible for Practice 2:
_______________________________________________
_______________________________________________
Days 1: ________________________________________
Days 2: ________________________________________
Dates 1: _______________________________________
Dates 2: _______________________________________
Site 1: _________________________________________
Site 2: _________________________________________
Street 1: _______________________________________
Street 2: _______________________________________
City 1: __________________________ State 1: ______
City 2: __________________________ State 2: ______
Zip 1: _____________ Phone 1: ___________________
Zip 2: _____________ Phone 2: ___________________
Contact 1: _____________________________________
Contact 2: _____________________________________
Person Responsible for Practice 3:
Person Responsible for Practice 4:
_______________________________________________
_______________________________________________
Days 3: ________________________________________
Days 4: ________________________________________
Dates 3: _______________________________________
Dates 4: _______________________________________
Site 3: _________________________________________
Site 4: _________________________________________
Street 3: _______________________________________
Street 4: _______________________________________
City 3: __________________________ State 3: ______
City 4: __________________________ State 4: ______
Zip 3: _____________ Phone 3: ___________________
Zip 4: _____________ Phone 4: ___________________
Contact 3: _____________________________________
Contact 4: _____________________________________
SIGNATURE
Sanctioned practices, which are covered by insurance, may start before the Sanctioned Season. A sanction must be requested for each
site used. A team wishing to have sanctioned practices must first register its members as a team, and then request a sanction for
practices. Once this sanction is granted, all participants (players and coaches) must be current registered USA Volleyball members.
My organization agrees to abide by all USA Volleyball and WEVA rules and policies for practices.
Signed: _______________________________________
Date:
__________________
(Club Representative)
Please complete the additional information on back of form!
Only WEVA members may apply for practice sanction. Applicant is to send one copy of this document (both sides) to the WEVA
Sanction Coordinator. A copy of the document will be returned to the applicant with the action noted, and if approved, the
sanction number for the practice. APPROVED SANCTION IS ESSENTIAL FOR INSURANCE COVERAGE!
Sanction Coordinator:
Laura Schoenl, 5 Nicole Capri Way, W. Henrietta, NY, 14586, 585-321-0049
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