MILLENNIUM VOLLEYBALL CO-Ed YOUTH SUMMER CAMP Date of Camp:
June 13th, 14th & 15th 2016
Time: Session #1: 4th-6th grade - - > 10:45 am to 12:30 pm Session #2: 7th-8th grade - - > 12:30 pm to 2:15 pm (grade entering in Fall 2016)
Location: MILLENNIUM HIGH SCHOOL GYMNASIUM COST: Pre-registration $60 if paid/rec’d by 5/20/16 by noon (Walk ups the day of camp $70) Camp director: Julie Vastine (MHS Varsity Volleyball coach) NAME:_________________________________________________________________ AGE:___________ SCHOOL:_______________________________________________________________ GRADE: ________ T-SHIRT SIZE*:__________ (adult SM, MED, LRG, XL, XXL)
*Included if pre-registered by 5/20/16.
Please make sure you sign up early so we can determine gym space and complete t-shirt orders. CONTACT NAME: _______________________________________________________________________ PHONE #:____________________________________E-MAIL:____________________________________ PLEASE COMPLETE AND INCLUDE THE FOLLOWING: Camp registration (this form) District waiver (on website. Please read Dangers of Sports read before signing)
Payment to the Millennium Volleyball Program
Pay and submit all forms to MHS Bookstore OR Mail : MHS Volleyball: C/O Julie Vastine 14802 W. Wigwam Blvd. Goodyear AZ 85395
PARENT'S CONSENT By signing this form below, I hereby give my consent for the above named (myson/daughter) to compete in this volleyball training program. In the case this pupil is injured you are authorized to have him/her treated. By signing below I certify that all theinformation on this form is accurate and complete and I consent to have the above named student participate in the volleyball training activity. I realize that by participating in this activity, there is a risk that my child could be injured and that the injury could result in serious permanent injury or death.
______________________________________________/___________________________________________ Parent Signature
Relationship to athlete
If there are additional questions please contact Coach Vastine @ 602 329 – 5415 or via e-mail at:
[email protected]