Goldey-Beacom College 2012 Lightning Volleyball Camp
General Release
Camp for Girls July 16-19 For girls entering Grades 6-9
(302) 225-6223
_____________________________
Signature of Parent/Guardian
_____________________________
Relationship
_________________
Date
________________
4701 Limestone Road, Wilmington DE 19808
Please Return to: Chuck Hammond, Goldey-Beacom College
Emergency Phone Number
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 hereby 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.
Attn: Chuck Hammond Athletic Department 4701 Limestone Road Wilmington, DE 19808
Goldey-Beacom College 2012 Lightning Volleyball Camp
Time: 5:45pm-9:00
Date: July 16-19 for girls Entering 6-9 grades
Fee: $75.00
Location: Goldey-Beacom College
Joseph West Jones Center Gym
Please Note: Application Deadline: June 29, 2012 32 Camper Maximum Applications are processed on a “first come-first served basis” Pre-Registration Required No walk-ins accepted For more information, please call Richard Bowers 302-225-6223 Or Email: [email protected]
Mission Statement
The Goldey-Beacom College Lightning Volleyball Camp is designed to teach young volleyball players, fundamental skills 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 ratio of 8-1, we offer all campers the individualized attention they deserve and need.
ALL CAMPERS RECEIVE CAMP T-SHIRT
WRITTEN EVALUATION OF SKILLS State________
Phone_______________ School______________________________ Email:________________________
Zip__________
Home Ph____________
Bus. Ph________________
Signature of Parent/Guardian_____________________________________________
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 may be deemed necessary for my child”.
Physical Restrictions__________________________
ID#_______________________________________________ Allergies_________________________________
Insurance Co_______________________
Parents Name_________________________
T-Shirt Adult Size (SM-MED-LG-XL) Please circle one Years of Volleyball experience_______________
Grade Entering Fall ‘11______
City______________________
Registration Fee: $75.00 Make checks payable to Goldey-Beacom College Space is limited to first 32 applicants Pre-Registration Required: No Walk-Ins Accepted DEADLINE FOR APPLICATIONS TO BE RECEIVED: June 25, 2011 Name________________________ Address____________________________________________
Age_______
Camp Information Richard Bowers Women’s Volleyball Coach Goldey-Beacom College [email protected] (302)225-2223
Goldey-Beacom College Girl’s Volleyball Camp– Registration Form
CAMP DIRECTOR-
Camp for Girls July 16-19 For girls entering Grades 6-9
(302) 225-6223
_____________________________
Signature of Parent/Guardian
_____________________________
Relationship
_________________
Date
________________
4701 Limestone Road, Wilmington DE 19808
Please Return to: Chuck Hammond, Goldey-Beacom College
Emergency Phone Number
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 hereby 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.
Attn: Chuck Hammond Athletic Department 4701 Limestone Road Wilmington, DE 19808
Goldey-Beacom College 2012 Lightning Volleyball Camp
Time: 5:45pm-9:00
Date: July 16-19 for girls Entering 6-9 grades
Fee: $75.00
Location: Goldey-Beacom College
Joseph West Jones Center Gym
Please Note: Application Deadline: June 29, 2012 32 Camper Maximum Applications are processed on a “first come-first served basis” Pre-Registration Required No walk-ins accepted For more information, please call Richard Bowers 302-225-6223 Or Email: [email protected]
Mission Statement
The Goldey-Beacom College Lightning Volleyball Camp is designed to teach young volleyball players, fundamental skills 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 ratio of 8-1, we offer all campers the individualized attention they deserve and need.
ALL CAMPERS RECEIVE CAMP T-SHIRT
WRITTEN EVALUATION OF SKILLS State________
Phone_______________ School______________________________ Email:________________________
Zip__________
Home Ph____________
Bus. Ph________________
Signature of Parent/Guardian_____________________________________________
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 may be deemed necessary for my child”.
Physical Restrictions__________________________
ID#_______________________________________________ Allergies_________________________________
Insurance Co_______________________
Parents Name_________________________
T-Shirt Adult Size (SM-MED-LG-XL) Please circle one Years of Volleyball experience_______________
Grade Entering Fall ‘11______
City______________________
Registration Fee: $75.00 Make checks payable to Goldey-Beacom College Space is limited to first 32 applicants Pre-Registration Required: No Walk-Ins Accepted DEADLINE FOR APPLICATIONS TO BE RECEIVED: June 25, 2011 Name________________________ Address____________________________________________
Age_______
Camp Information Richard Bowers Women’s Volleyball Coach Goldey-Beacom College [email protected] (302)225-2223
Goldey-Beacom College Girl’s Volleyball Camp– Registration Form
CAMP DIRECTOR-
