Summer Camp Registration | Conestoga Girls Volleyball

CONESTOGA HS VOLLEYBALL SUMMER CAMP

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Is for incoming 6th - 9th Graders and runs from July 17-21, from 9:00AM to 12:00pm at Conestoga HS.

The cost is $150 and registration is easy! Just fill out the form below and mail us a check.

Be sure to fill out all the fields before you click the SUBMIT button. Thank you!

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Username^*

PARENT Email^*

CAMPER Name^*

Street^*

Town, State and Zip Code^*

Home Phone^*

Parent Work or Cell Phone Number^*

School attending in Fall 2023^*

Grade in fall 2023^*

Select grade

Birth Date^*

T-Shirt Size - Select ADULT Size^*

Medical Insurance^*

Inhaler Needed?^*

Are there any medical issues that we should be aware of? (Allergies, past surgeries, etc.?)^*

Emergency Contact - Person's Name^*

Emergency Contact's Phone Number^*

Family Doctor's Name^*

Family Doctor's Phone Number^*

Parent Release Section In consideration of your son or daughter being allowed to participate in the CHS Summer Camp Volleyball Program, and intending to be legally bound, I do hereby release and forever discharge all staff, coaches and directors of Conestoga High School and TE Middle school and/or the School Athletic Association, their agents and their successors, from any/all actions or suits in law or equity which I/we might hereafter have, by reason of injuries sustained by my child participating in the CHS Summer Camp Volleyball Program. Please enter your initials for approval:^*

NOTICE OF RISK: I understand that participation in athletic activity is dangerous and may expose my child to risk of serious bodily injury and possibly death. These risks include, but are not limited to, the possibility of collisions with other participants, spectators, equipment and equipment failure. I understand that no degree of care or caution can completely eliminate these risks. Please enter your initials for approval:^*

PARENT RELEASE SECTION: I hearby authorize a representative from the Conestoga Volleyball Camp to take my child to a physician or hospital for treatment should the need arise. Parent please enter your full name for approval:^*

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