TEAM VARSITY SALES VOLLEYBALL
KENT CAMP
REGISTRATION FORM - 2010
(PLEASE PRINT)
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q All Skills Camp:
June 29 – July 3 ŕ $190.00
Players entering Grades 6-12 in
Sept. 2010
q Junior All Skills Camp:
Mornings – June 29 – July 3 ŕ $95.00
Players entering Grades 2-6 in Sept. 2010
Cheque payable to:
Volleyball Kent Camp
Name:
_______________________________________________________________
˙Female ˙Male
Birthdate:
__________________________ Age at Camp: ______________________
Grade
(Sept ‘10): ______ School attending (Sept ‘10): ________________________
Address:
_____________________________________________________________
City:
______________________________ Postal Code: _______________________
Phone:
______________________
E-mail:
_______________________________________________________________
Health
Card #: ____________________________________
Playing
Experience: _____________________________________________________
______________________________________________________________________
T-Shirt Size:
Adult: ˙S ˙M
˙L ˙X L
˙Youth: L
Consent:
We reserve the right to refuse enrolment or dismiss a camper if it is in the
best interest
of
the camp and/or camper. There will be no refund of any or part of the camp fee
if
a camper is dismissed for inappropriate behaviour. We
cannot be held responsible for
any
loss or damage to Camper’s belongings. Permission is given to photos or video
excerpts
of campers which may appear in the camp brochure or other advertising. The
Lambton-Kent District School Board, the St.
Clair Catholic District School Board, the Municipality
of
Chatham Kent and the Tim Hortons Volleyball Kent
Staff shall not be held liable for any loss or injury.
Cancellation Policy:
You will be assessed a $25 Administration
Fee for any cancellation
from
the Volleyball Kent Camp.
NSF Cheques:
You will be assessed an Administrative Fee of $25
fee for submitting an
NSF cheque.
Date:
_________________ Parent’s Signature:
__________________________