Bumpers Bar & Grill

2024 Team Name *

HAS THE CAPTAIN OR ANYONE ON THE TEAM PLAYED AT BUMPERS IN THE PAST?

Yes (no deposit required)

No (deposit required see below)

PLEASE CHOOSE YOUR NIGHT OF PLAY AND LEVEL- DAYS FILLED WILL NOT BE SHOWN *

FRIDAY - 6's COED UPPER B

FRIDAY - 6's COED B

FRIDAY - 6's COED C

ZIP CODE *

I understand that the above deposit of $100 will be used toward my 2024 volleyball team fee.

By hitting submit, I understand the deposit is non-refundable after 72 hours.

CARD NUMBER *

CARDHOLDER NAME *

WELCOME TO BUMPERS SAND VOLLEYBALL!

PLEASE FILL OUT ALL THE INFORMATION BELOW. oUR LEAGUE DIRECTOR WILL CONTACT YOU TO COMPLETE YOUR REGISTRATION PROCESS AND ENSURE THAT YOU ARE SIGNED UP FOR THE APPROPRIATE LEVEL OF PLAY. WE LOOK FORWARD TO WELCOMING YOUR TEAM TO A GREAT 2024 SAND SEASON!

Phone Number *

SECOND CHOICE- OUR LEAGUES FILL UP QUICK, IN THE EVENT YOUR FIRST CHOICE IS TAKEN PLEASE PROVIDE A SECOND CHOICE IF ANY

FRIDAY - 6's COED UPPER B

FRIDAY - 6's COED B

FRIDAY - 6's COED C

CVV *

FOR NEW TEAMS REQUIRING DEPOSIT - FILL OUT CREDIT CARD INFORMATION BELOW BEFORE HITTING SUBMIT -

APPLICATIONS WILL NOT BE ACCEPTED FOR NEW TEAMS WITHOUT A DEPOSIT.

2024 Captain Full Name *

Expiration Date *

Email *