2024 VIRGINIA UNITED VOLUNTEER REGISTRATION "*" indicates required fields First Name* Last Name* Nickname / Preferred First Name Phone*Email:* Coaches / Staff Member’s EmailPOSITION*PRESIDENTVICE PRESIDENTASSOCIATION REPHEAD FOOTBALL COACHASSISTANT FOOTBALL COACHHEAD CHEER COACHASSISTANT CHEER COACHTEAM MOMTEAM DADFIELD MARSHALLASSOCIATION NAME*.VIRGINIA BEACH MUSTANGSVIRGINIA ASSASSINSNORFOLK RAVENSNORFOLK RAMSCRUSADERS GOATSCHESTER JETSVIRGINIA BUFFALOESVIRGINIA BULLS757 COLTS757 HELLCATSTTG ELITE CHARGERSCHARGED UP BULLSSOUTHEASTERN HAWKEYESRARE BREEDOTHERFOOTBALL DIVISIONS*FLAG6U7U8U9U10U11U12U13U14UN/ACHEER DIVISION*UNITED TINY TOTSUNITED 9UNITED 11UNITED 12UNITED 13UNITED 15N/AVolunteer Picture ( Headshot Preferred)* Drop files here or Select files Max. file size: 1 GB. Primary Position ( President, Athletic Director, Head Coach etc..)SelectPresidentVice PresidentAthletic DirectorCheer DirectorHead CoachAsst. CoachTeam ParentSecretaryBoard Member Contact Details Emergency Contact* Emergency Contact Primary Phone ** USA Football USA Football Certification Certificate Drop files here or Select files Max. file size: 1 GB. Upload USA Heads-Up Certificate IMAGE RELEASE* YES I give permission for any image of my images to appear in pictures, photographs, electronic images, video, audio, any publications, on any website or other electronic media and for VIRGINIA UNITED / VIRGINIA SPORTS to share such images with third parties without payment or renumeration to me. REGISTRATION* Price: Coupon Total Payment Method PayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
