All-Skills Camp

Montgomery Gold Volleyball Camp
All-Skills Camp
June 28 thru July 1st 2010
Location: First Baptist Church (Off 105 West)
Website: www.montgomerygoldvball.com
Registration deadline June 15th

Camp is designed to teach players the fundamentals of volleyball . FOR GRADES: 4th, 5th, 6th

CHECK WHICH SESSION YOU ARE ATTENDING:
________ SESSION 1 (INCOMING 4TH, 5TH AND 6TH GRADERS) 8:30 A.M. TO 10:30 A.M.

________ SESSION 2-GROUP A (INCOMING 7TH AND 8TH GRADERS) 10:30 A.M. TO 12:30 P.M.

________ SESSION 2-GROUP B (INCOMING 9TH GRADERS) 10:30 A.M. TO 12:30 P.M.

SHIRT SIZE-PLEASE CIRCLE SIZE (Adult) X-Large Large Medium Small X-Small

NAME ____________________________________ ADDRESS___________________________________

ZIP_______________________________________ CELL PHONE_________________________________

E-MAIL ___________________________________ GRADE (FALL 2010) __________________________

SCHOOL__________________________________

Medical Release/Waiver We as parents or guardians hereby give permission for our child to participate in the Montgomery Gold Volleyball Camp and acknowledge the fact that she is physically able to participate in camp activities. We further acknowledge that we will be responsible for any illness or injury that may occur during the camp. I hereby authorize the staff of Montgomery Gold Volleyball Camp in the event of an emergency situation to obtain for me medical attention according to their best judgment and I hereby waive and release Montgomery Gold Volleyball Camp from any and all liability for an injury or illness incurred while participation in the camp. In the event of an injury to your child, we recognize that First Baptist Church & Montgomery Gold Volleyball Club, and its employees are no way liable for any injuries, medical expenses, or damages.
Parent/ Guardian Signature____________________________________________________ Date_______________

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Camp is an intermediate camp designed for players with volleyball experience. FOR GRADES: 7th & 8th

Camp is an advanced camp designed for players planning on playing at the high school level. FOR GRADES: Incoming 9th

Mail to:
Montgomery Gold
PO BOX 1622
Montgomery, TX 77356

Make checks payable to: Julie Cicherski
(Payments are non-refundable)