All-Star Volleyball Showcase Package | Georgia Athletic Coaches Association

DETAILS

Congratulations on the All-Star selection of your player. Please complete this form and submit ASAP.

Click here for details.

Payment

The GACA All Star Volleyball provides food, athletic gear, video exposure for recruiting, awards, and insurance for the participating athlete. There is a $175.00 participation fee to help cover the cost of the event which may be paid by the school, booster club, parent/guardian, and/or combination of those mentioned.

If paying online, please go to S2Pass for payment. https://fans.s2pass.com/ . 1) Choose Georgia and type in GACA on right, 2) click on Shop at top and 3) scroll down until you see yellow box for All Star Volleyball (email debbie@gacacoaches.com or call (912-424-8615) if you have any questions or issues with the link.

If paying by mail, please mail check to:

GACA
PO BOX 1120
JESUP, GA 31598

Submission of form without payment does not qualify your athlete for the All-Star game. Payment must be collected in order for your athlete to participate in the All-Star game. If the office cannot receive or confirm payment by the deadline of November 4, 2024, then your player may be excluded from participation in our game.

How will you be paying?*

Who will be paying?*

All-Star Cost*

Price:

Total

$0.00

MEDICAL / PHYSICAL

Please upload your child's physical here. It is required This can be done by scanning the physical to your computer and uploading here.

A parent can take a picture of their child's physical and upload it below...either from their computer or phone (it must be in .pdf or .jpeg format--no movies).

Player Physical*

Please upload your child's physical here. It is required This can be done by scanning the physical to your computer and uploading here.

Max. file size: 12 MB.

PLAYER INFORMATION

Player Name*

First Last

Email*

Gender*

Grade*

Date of Birth*

Place of Birth*

High School*

Coach's Name*

First Last

Coach's Email*

Coach's Cell Phone*

Weight*

Height*

Shoe Size*

Shirt Size*

Pant Size*

Dominant Hand*

Address*

This is the address where your picture will be sent.

Street Address City State ZIP Code

Will you be on scholarship for college?*

Please give us the name of college/university*

Will you attend college if you do not have a scholarship?*

Where will you attend?*

Do you have asthma or allergies?*

Please explain*

Do you have diabetes?*

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name*

First Last

Email*

Parent/Guardian #2 Name

First Last

Home Phone*

Cell Phone*

Night-Time Phone*

Are you covered by insurance?*

Insurance Company*

Group Number*

Policy Number or Branch of Service*

Is your child allergic to any medicine?*

Please list*

Is your child taking any medications?*

Please list*

Please list any serious injuries, illness or circumstances we should be aware of before administering care:*

Enter N/A is this does not apply to you

EMERGENCY CONTACT

Every attempt will be made to contact you in case of injury. Should this not be possible or practical, please list the name of a relative who can authorize treatment.

Name*

First Last

Relation*

Phone*

SIGNATURES/ATTESTATIONS

Player Attestation*

I hereby accept the Georgia Athletic Coaches Association's invitation to play in the 2024 GACA All-Star Volleyball Games sponsored by BSN being held at Jefferson High School, 575 Washington Street, Jefferson, GA 30549. I agree to abide by the rules and disciplines set forth by the officials of the Georgia Athletic Coaches Association. I understand that I am to report on Saturday, November 9, 2024 at 9-9:30 a.m. to register with the GACA staff at Jefferson High School, 575 Washington Street, Jefferson, GA 30549.

Parent Attestation*

Please check all:

I verify that the above information to be true and accurate to the best of my knowledge.
I do hereby approve emergency treatment, as deemed necessary, by the hospital and/or medical staff (physician, athletic trainer) on site for my son/daughter listed above.
I give this consent with full knowledge and assumption on my part for any and all financial responsibilities incurred as a result of participation in the GACA/BSN ALL-STAR VOLLEYBALL CLASSIC and practices. My insurance company will serve as the primary coverage for my child. The Georgia Athletic Coaches Association's insurance will be secondary insurance.
I hereby give my consent for the student named above to engage in approved sports activities, related to the 2024 GACA/BSN ALL-STAR VOLLEYBALL CLASSIC. It is my clear understanding that participation in athletics activities (e.g. football, basketball, baseball and softball) creates a risk normally associated with such activity. I agree not to hold the Georgia Athletic Coaches Association or anyone acting on its behalf responsible for any injury occurring to my son/daughter in the proper course of such athletic activities or travel. I further give my permission for the appropriate all-star association staff members or their designees (physicians, athletic trainers, student trainers, coaches) to render emergency treatment or authorize medical treatment by a hospital and/or physician or medical staff.

Photo Waiver*

I request a "PHOTO OPT OUT" waiver to be provided to me by the GACA Office upon all star player check -in and a signed copy provided to me for my records.
I DO NOT request a "PHOTO OPT OUT" waiver to be provided to me by the GACA Office upon all star player check -in and a signed copy provided to me for my records.

Player Signature*

Parent/Guardian Signature*

GACA/BSN All-Star Volleyball Games

DETAILS

Payment

MEDICAL / PHYSICAL

PLAYER INFORMATION

PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT

SIGNATURES/ATTESTATIONS