2015 lightning basic volleyball camp
Attn: Richard Bowers Goldey-Beacom College Athletics 4701 Limestone Road Wilmington, DE 19808
Please return to: Richard Bowers, Goldey-Beacom College Athletics, 4701 Limestone Road, Wilmington, DE 19808
Emergency Phone Number: __________________________ Relationship: ___________________
Parent/Guardian Signature: ________________________________________ Date: ____________________
As a parent/guardian of the registered child, I certify that he/she is in excellent physical health and capable of participation in strenuous activity. I hearby give my approval for his/her participation in the Goldey-Beacom College Volleyball Camp. In case of injury to my child, I agree to waive all claims resulting from or in connection with the activities in which my child is a participant. I hereby release, absolve, and hold harmless the GoldeyBeacom College Volleyball Camp coaches, directors and administrators.
GENERAL RELEASE
July 13-16 • For Girls Entering Grades 6-9 Joseph West Jones College Center Goldey-Beacom College Campus • Wilmington, DE
2015 LIGHTNING BASIC VOLLEYBALL CAMP
GOLDEY-BEACOM COLLEGE GIRLS BASIC VOLLEYBALL CAMP - REGISTRATION FORM
Zip: ____________ E-Mail: _________________________
Phone: _______________________
Address: ___________________________________________
Registration Fee: $80.00 • Make checks payable to Goldey-Beacom College Space is limited to first 40 applicants • Pre-registration required • No walk-ins accepted DEADLINE FOR APPLICATIONS TO BE RECEIVED: June 19, 2015
Name: __________________________________________ State: ____________
Grade (Entering Fall ‘13): _____ School: _________________________________
City: _____________________________ Age: ______ T-Shirt (Please circle one; Adult Size): SM • MED • LG • XL Years of Volleyball Experience: ________________________ ID#: _______________________________________
Parents Name: ________________________ Home Phone: __________________ Business Phone: __________________ Insurance Company: __________________________________________ Allergies: ___________________________________ Physical Restrictions: _____________________________________________ The law requires that parental permission be obtained for medical procedures on minors. The following consent form should be signed by the parent/guardian so that such procedures may be promptly carried out and so that no necessary delays occur with operative procedures. However, no operation will be performed, except in extreme emergency, without parents contacted and fully informed. “I give permission for such diagnostic, therapeutic and operative procedures that may be deemed necessay for my child.”
Location: Goldey-Beacom College, Jones Center Gym Application Deadline: June 19, 2015 Fee: $80.00
For more information, contact Goldey-Beacom Volleyball Coach Richard Bowers by phone at 302225-6223 or via e-mail at [email protected].
All Campers Receive: • Camp T-Shirt • Written evaluation of skills
The Goldey-Beacom College Lightning Volleyball Camp is designed to teach fundamental skills to young volleyball players that aid future athletic development. Our primary goal is to instill a balance between enjoyment of the game and the importance of acquiring fundamental skills. With a camper-to-staff ration of 10:1, we offer all campers the individualiized attention they deserve and need.
Signature of Parent/Guardian: ___________________________________________________________________________________
Dates: July 13-16 for girls entering grades 6-9
Richard Bowers Women’s Volleyball Coach Goldey-Beacom College [email protected] Phone: 302-225-6223
Time: 6:00 pm - 8:30 pm
MISSION STATEMENT IMPORTANT NOTE: There is a maximum of 40 campers for this camp. Applications are processed on a “firstcome, first-served” basis. Pre-registration is required and no walk-ins are accepted.
CAMP DIRECTOR
CAMP INFORMATION
Please return to: Richard Bowers, Goldey-Beacom College Athletics, 4701 Limestone Road, Wilmington, DE 19808
Emergency Phone Number: __________________________ Relationship: ___________________
Parent/Guardian Signature: ________________________________________ Date: ____________________
As a parent/guardian of the registered child, I certify that he/she is in excellent physical health and capable of participation in strenuous activity. I hearby give my approval for his/her participation in the Goldey-Beacom College Volleyball Camp. In case of injury to my child, I agree to waive all claims resulting from or in connection with the activities in which my child is a participant. I hereby release, absolve, and hold harmless the GoldeyBeacom College Volleyball Camp coaches, directors and administrators.
GENERAL RELEASE
July 13-16 • For Girls Entering Grades 6-9 Joseph West Jones College Center Goldey-Beacom College Campus • Wilmington, DE
2015 LIGHTNING BASIC VOLLEYBALL CAMP
GOLDEY-BEACOM COLLEGE GIRLS BASIC VOLLEYBALL CAMP - REGISTRATION FORM
Zip: ____________ E-Mail: _________________________
Phone: _______________________
Address: ___________________________________________
Registration Fee: $80.00 • Make checks payable to Goldey-Beacom College Space is limited to first 40 applicants • Pre-registration required • No walk-ins accepted DEADLINE FOR APPLICATIONS TO BE RECEIVED: June 19, 2015
Name: __________________________________________ State: ____________
Grade (Entering Fall ‘13): _____ School: _________________________________
City: _____________________________ Age: ______ T-Shirt (Please circle one; Adult Size): SM • MED • LG • XL Years of Volleyball Experience: ________________________ ID#: _______________________________________
Parents Name: ________________________ Home Phone: __________________ Business Phone: __________________ Insurance Company: __________________________________________ Allergies: ___________________________________ Physical Restrictions: _____________________________________________ The law requires that parental permission be obtained for medical procedures on minors. The following consent form should be signed by the parent/guardian so that such procedures may be promptly carried out and so that no necessary delays occur with operative procedures. However, no operation will be performed, except in extreme emergency, without parents contacted and fully informed. “I give permission for such diagnostic, therapeutic and operative procedures that may be deemed necessay for my child.”
Location: Goldey-Beacom College, Jones Center Gym Application Deadline: June 19, 2015 Fee: $80.00
For more information, contact Goldey-Beacom Volleyball Coach Richard Bowers by phone at 302225-6223 or via e-mail at [email protected].
All Campers Receive: • Camp T-Shirt • Written evaluation of skills
The Goldey-Beacom College Lightning Volleyball Camp is designed to teach fundamental skills to young volleyball players that aid future athletic development. Our primary goal is to instill a balance between enjoyment of the game and the importance of acquiring fundamental skills. With a camper-to-staff ration of 10:1, we offer all campers the individualiized attention they deserve and need.
Signature of Parent/Guardian: ___________________________________________________________________________________
Dates: July 13-16 for girls entering grades 6-9
Richard Bowers Women’s Volleyball Coach Goldey-Beacom College [email protected] Phone: 302-225-6223
Time: 6:00 pm - 8:30 pm
MISSION STATEMENT IMPORTANT NOTE: There is a maximum of 40 campers for this camp. Applications are processed on a “firstcome, first-served” basis. Pre-registration is required and no walk-ins are accepted.
CAMP DIRECTOR
CAMP INFORMATION
