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Middleton High Volleyball Camp Registration

The document is a registration form for a volleyball camp for grades 4th through 8th to be held on June 8th, 9th, and 10th from 9am to 12pm at Middleton High School. The cost is $35 which includes a t-shirt. Parents should make checks payable to MHS Volleyball and return the form with payment to the high school office or mail it to the specified address by the specified date. Coach Jan Arrasmith can be contacted with any questions. The form collects participant and parent contact information as well as medical authorization and t-shirt size.

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GusDrake
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72 views1 page

Middleton High Volleyball Camp Registration

The document is a registration form for a volleyball camp for grades 4th through 8th to be held on June 8th, 9th, and 10th from 9am to 12pm at Middleton High School. The cost is $35 which includes a t-shirt. Parents should make checks payable to MHS Volleyball and return the form with payment to the high school office or mail it to the specified address by the specified date. Coach Jan Arrasmith can be contacted with any questions. The form collects participant and parent contact information as well as medical authorization and t-shirt size.

Uploaded by

GusDrake
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

For Grades 4th-8th

June 8th, 9th, and 10th


9am-12pm @ Middleton High School
Cost $35 (includes T-shirt)

Please make check payable to MHS Volleyball


Return to MHS office or mail to 12981 Okie Ridge, Caldwell, ID 83607

Contact Coach Jan Arrasmith @ 989-2425 or [email protected] with questions

-----------------------------------------------------------------------------------------------------------Carlie E. Drake
4th
Participant Name___________________________Grade:____________
16594 N Windsor Ln
Address __________________________________________________

Nampa, ID
83687
City, ST __________________________________
Zip ____________
Gus & Carolee Drake
Parent Name ______________________________________________
[email protected]
208-602-4811
Parent Phone Number __________________Email:_________________
Gus Drake
Emergency Contact _________________________________________

208-863-2385
Emergency Phone Number ____________________________________
T-shirt size: YS

YM YL YXL AS AM AL AXL (circle size)

Medical Release
I hereby authorize my childs participation in the 2015 Little Spikers Camp at Middleton High
School. I know of no physical, mental, emotional or behavioral problems which may affect my
childs ability to safely participate. I understand it is my responsibility to ensure that my daughter
has current and active medical insurance before she may attend and confirm here that she does. I
authorize the camp staff to act on my behalf should any health problem or injury occur. Neither I
nor my daughter will hold Middleton High School or any person associated with this camp liable
for any injuries/illnesses sustained while my daughter is at camp.

5/21/15 Signature of Parent/Legal Guardian ____________________________


Date _________
Mallary Tanner
If referred by a high school player for camp, please write players name:__________________

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