Volleyball Camp Registration

1. Child’s First & Last Name

1. Child’s Age and Grade

1. Child's T-Shirt Size

2. Child’s First & Last Name

2. Child’s Age and Grade

2. Child's T-Shirt Size

2. Child’s First & Last Name

2. Child’s Age and Grade

2. Child's T-Shirt Size

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone

Alternate Phone

Parent/Guardian Email

Street Address

City

State

Zip Code

Does your child have any allergies, special needs, physical limitations?

Do you authorize the Leeds Volleyball Booster Club volunteers to call 911/seek medical attention if an emergency were to occur? Required

Yes

I acknowledge and understand that my child’s participation in this Volleyball Camp hosted by the Leeds Volleyball Booster Club is voluntary and that there are certain risks associated with it. I agree and assume these risks and release Leeds Volleyball Booster Club/Leeds City Schools and its employees and agents from all liability, claims, or damages arising from my child’s participation. I further authorize Leeds Volleyball Booster Club parents and volunteers to obtain medical treatment for my child in the event of an emergency. I have read and understand the contents of this parental consent form and agree to its terms. Required

Yes

Parent/Guardian Signature

Date

Session Selection Required

1st Session - $60.00

2nd Session - $60.00

Both Sessions - $100.00

Total:

Looking forward to working with your child!!

GREENWAVE

VOLLEYBALL

Volleyball Camp Registration