NCTC 2017 Summer Volleyball
Camp
Improve your volleyball I.Q. – attend Skills Camps!!
This camp is designed for players wanting to advance their skills for the upcoming
volleyball season. Players may choose to train as a Setter, Outside Hitter, Middle Hitter,
or Defensive Specialist. Position groups will be separated by ability. Each skill group will
be led by an NCTC coach, assistant coach, and assisted by the current players on the
Northland College Team.
Sign up today!
Dates: July 20th and July 21st 2017
Cost: $50.00/player (Make Checks payable to NCTC Volleyball)
Discount available for multiple family members.
Team sending five or more players $45.00/player.
Age: J.V. & Varsity Level
Time: 9‐11:30 a.m.
Lunch
12:30‐3:00 p.m.
Registration / Information:
(Sign-up sheets are available at NCTC web page: northlandcollege.edu)
Please return the sign-up sheet along with camp fees to:
Abdul Nour Chamma
Head Volleyball Coach
NCTC 2010 Summer Volleyball Camp
NCTC Hwy 1 East.
Thief River Falls, MN 56701
VOLLEYBALL
Registration Form:
Name: _____________________________________________ Grade Entering: __________________
Phone # _______________________________, Email address: ________________________________
Address: __________________________________, City: _____________________ Zip Code: ______
T-Shirt Size: ________________________, Position Played: __________________________________________________
Volleyball Level you played last year :( Circle One):
C-Squad,
J.V.,
Varsity
2017 NCTC PIONEERS CAMPER PLAYER MEDICAL RELEASE FORM:
This must be completed- legibly- and signed in all areas by both the player and his/her parent or guardian. By signing this
form the participant affirms having read it.
Player’s Name _______________________________________________________________________________________
Name: _______________________________________________________________Phone # ________________________
(Primary Contact)
Name: ______________________________________________________________ Phone # _________________________
(Secondary Contact)
Insurance provider: ____________________________________________________________________________________
Group # ______________________________________________, Subscriber # ____________________________________
Please elaborate on any medical conditions of which we should be aware: _________________________________________
Any medications currently being taken: ____________________________________________________________________
Any Allergies: _______________________________________________________________________________________
_________________________________________ has my permission to participate in training, competition, events, and
activities sponsored by Northland Community & technical College, and understand that serious injuries, including death, can
occur playing volleyball. I approve of the leaders who will be in charge of this program. I recognize that the leaders are
serving to the beat of their ability. I certify that the participant has full medical insurance with the company listed above. I
also certify to the best of my knowledge that the participant named hereon is physically fit to engage in the activities
described above.
Signed: __________________________________________Relationship: _______________________________________
Date: ______________________. If during, the course of my Kid’s activities in volleyball he/she should become ill or
sustain an injury. I hereby authorize you to obtain emergency medical/dental care. I will assume financial responsibility for
the bills incurred through my insurance company.
Signed: _________________________________________ Date: ______________________________________________
I do not authorize emergency medical/dental care for my daughter/son.
Signed: _________________________________________ Date: ______________________________________________