LEWIS-CLARK STATE COLLEGE VOLLEYBALL SUMMER LEAGUE $200.00 per team –Guaranteed 8 Matches– 2 Matches Per Night (5-9 Pm) Thursday - June 15 Thursday – June 22 Thursday – June 29 Thursday– July 6
Limited to 12 teams *All games will be in the Warrior Activity Center / Auxiliary Gym School: ____________________________________________________ _______________________________________________________________________ Address City State Zip Coach: ______________________________________ School/Home Phone: _____________________ / ________________ Coach’s E-mail Address: ________________________________________ ******************************************************************************************************************************
Amount Enclosed: _________ / Make Checks Payable to: LCSC Volleyball / Mail to: LaToya Harris-Alexander Head Volleyball Coach Lewis-Clark State Payment due: May 25th to confirm spot 500 8th Ave Please have all players names and signatures completed prior to competition ! Lewiston, ID 83501 Medical Release: I hereby authorize my child’s participation in Lewis-Clark State Volleyball Summer League. I know of no mental or physical problems which may affect my child’s ability to safely participate in this event. I hereby authorize the directors and staff of the Lewis-Clark State Volleyball Summer League to act for me according to their best judgments in any emergency requiring medical attention. Neither I nor my child will hold Lewis-Clark State College, or the Volleyball Summer League, its directors or staff liable for any injuries, or expenses incurred while participating or attending summer league.
Player Name
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Information: LaToya Harris Alexander● (208) 792-2258 ●
[email protected] Parent/Guardian Signature