Volleyball Camp Enrollment Form

Email: tjimenez@midland.edu -- Phone: 432-685-4650

Camper's Name

Parent(s)/Legal Guardian

Home Phone Cell Phone

Home Address City

Zip Code

Email Address

If Parent(s)/Guardian named above is not available, contact:

Name

Home Phone Cell Phone

School

Grade (entering):
4th 5th 6th 7th 8th 9th 10th 11th 12th

Height Weight

Last level played:
Varsity Junior Varsity Freshmen Junior High YMCA Club Never Played

Club (if applicable)

Please select camp(s) attending:

  July 24th - July 26th



Beginners Camp
4th - 6th grade
9 am - 12 pm
Cost: $80
Fundamental Camp
7th - 8th grade
1 - 4 pm
Cost: $80
   
  July 27th - 29th
Advanced Competition Camp
9th - 12th grade
9 am - 12 pm
Cost: $80

T-Shirt Size (Adult Sizes)



I, as parent or guardian of the above named child, hereby grant permission for her/him to participate in the Volleyball Camp held at Midland College and acknowledge the fact that she is physically able to participate in camp activities. I hereby release the camp and its employees from all claims from injuries or illnesses, and do hereby authorize treatment of the above named camper on an emergency basis in the event such treatment becomes necessary while attending the camp sessions.

Please check here if you agree to the above statement:

Please mail payment to: Tammie Jimenez
3600 N. Garfield - Midland, Texas 79705

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