Summer Camps

Name____________________________________________ phone ( ) _____-____________

Address _________________________________________

City _____________________________________

e-mail address ___________________________

Age ___________ Grade this fall ____________

_______________________________________________________ DATE ____________________
Applicant’s signature

_______________________________________________________ DATE ____________________
parent/guardian signature
By signing this, I agree that the athlete registered above is to the best of my knowledge in good physical condition and able to participate in the activities of the camp. I also acknowledge that I am aware that along with any physical activity comes the possibility of injury, including death or permanent disability.

EMERGENCY CONTACT: ____________________________PHONE _________________

Make checks payable to:
Coldwater Volleyball
217 north Fiske Rd
Coldwater Mi 49036

____ Session I: July 7-10 ; Grades 4-8 : Cost: $50 ($60 after July 1)

____ Session II: July 14-17 ; Grades 9-12 : Cost: $50 ($60 after July 1)

____ Setters Camp: July 28-31 : Cost: $40 ($50 after July 1)