Volleyball Camp 2024

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Camper Name: *

Email address *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

Other Phone

School currently attending *

Grade Fall '24 *

T-Shirt Size *

Y=Youth A=Adult (YS Youth Small, AS Adult Small)

YS YM YL AS AM AL AXL

Emergency Contact *

Emergency Contact Phone Number *

Relationship to Camper *

Insurance Plan *

Policy Holder's Name *

Policy/Group No. *

Is Camper Allergic to any medication? *

If Yes What?

Any Medications being sent with camper? *

Parent Electronic Signature *

Please type full name

PARENTAL CONSENT AND MEDICAL WAIVER FORM

I hereby approve of my child’s attendance at the DCC Volleyball Camp and certify that she is in good health and able to participate in the camp. I authorize all camp affiliated personnel to act for me according to their best judgment in any emergency requiring medical attention. I understand, should any emergencies arise, I will be contacted immediately. I hereby release and waive the DCC Camp, the director, the counselors, and Dawson Community College from any and all liability.

Please Initial Here *

Balance is due day of registration. **If any child is unable to attend camp, leaves early, or is removed for disciplinary reasons, there are absolutely NO REFUNDS.

$75 with pre-registration before June 1

$85 if registering after June 1

Registration will be at 7:30 for Grades 3-6 12:30 for Grades 7-12 on the first day of camp.

Brochure

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