MILLENNIUM VOLLEYBALL CO-Ed YOUTH SUMMER ...

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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]