Volleyball Camp Registration Form - 2013

Date:
July 1-4, 2013
Monday - Thursday
Time:
Grades 3 - 8 11am-12:30 pm
Location: Affton High School – Lower Gym
Fee:
$45.00
All Fees are due by JUNE 21st
(After June 21st - $50.00)
Instructor:
Coach Brian Boehm Email: [email protected] Cell:314-435-6433
Instruction: Fundamentals of the Game:
Passing; Setting; Hitting; Serving; Blocking; Footwork
Player Position on the Court: Offense; Defense
Competition: Queen of the Court; Individual Skills; 6 on 6
* Each camper will receive a free t-shirt
------------------------Volleyball Camp Registration Form - 2013
Check payable to:
Affton Athletics
Students Name ____________________________
Parents Names ____________________________
Address __________________________________
City________________ State ____ Zip ________
Home Phone _______________________
Parents Work Phone _________________
School __________________________
Grade (2013-14 school year) _________
Emergency Information (if parent cannot be reached):
Contact Person ___________________
Phone Number ___________________
Mark one: Right Handed ( )
Adult shirt size: (Circle One)
S
Mail by JUNE 8th to:
Brian Boehm
Affton High School
8309 Mackenzie Road
St. Louis, MO 63123
Grades 3 -8
Left Handed ( )
M
L XL
I, the undersigned, agree and understand that all classes are done at the participant’s own risk. Although accidents
rarely occur, those participating should have their own insurance or be aware the expenses for any medical treatment
or care must be borne by the individual participant.
Read & Understood ________________________
Date ___________