TIM HORTONS VOLLEYBALL KENT CAMP

APPLICATION FORM – 2009

(PLEASE PRINT)

Mail Application Form to:

Randy Bartlett

440 Gregory Line East

Chatham, ON

N7M 5J7

Visit our website at:

www.volleyballkent.org

q Setters Camp: June 27 – June 28

Athletes born in 1992, 1993, 1994

q Hitters Camp: June 27 – June 28

Athletes born in 1992, 1993, 1994

q Defensive Specialist Camp: June 27 – June 28

Athletes born in 1992, 1993, 1994

Name: _______________________________________________________________

ÿFemale ÿMale

Birthdate: __________________________

Address: _____________________________________________________________

City: ______________________________ Postal Code: _______________________

Phone: ______________________

E-mail: _______________________________________________________________

School team:___________________________________________________________

Club team (if applicable): _________________________________________________

School Coach:__________________________________________

School Coach E-mail:_____________________________________

Club Coach: ___________________________________________

Club Coach E-mail: ______________________________________

Playing Experience: (Please include years of experience, teams played for, positions played, awards, etc.)

______________________________________________________________________

All applicants will be notified by June 7^th, 2009 as to the status of their application.

** Players not accepted into the High Potential Positional Camp will have a place held for them at the

All Skills Camp if they wish to attend.

** All successful applicants must submit completed Registration Form and Payment within 7 days of acceptance.

Date: _________________ Parent’s Signature: __________________________