Dates:
July 23rd – July 27th
Times:
10th-12th: 2pm – 5pm (Mon – Thurs)
8am – 11am (Friday)
Location:
Santa Margarita High School Gym
Tuition:
$250 per player
Who may attend:
All returning players and new players
Make checks payable to:
Santa Margarita Volleyball Camp
Please mail money/t-shirt size to Bryan Cottriel by June 22nd.
Mail to: Santa Margarita Catholic High School (Attn: Bryan Cottriel)
22062 Antonio Pkwy | Rancho Santa Margarita, CA 92688
Any questions please contact Bryan Cottriel [email protected]
Player’s Name _____________________________
Grade_______
Email address ______________________________ Contact Ph. #_______________________
T- Shirt size: XL
L
M
S
YXL (Circle one)
Dates:
July 16th – July 26th (No Friday’s)
Times:
9th: 8am -10am
7th & 8th: 10am -12 pm (6th can attend too)
Location:
Santa Margarita High School Gym
Tuition:
$250 per player
Who may attend:
All players…Beginning and Advanced
Make checks payable to:
Santa Margarita Volleyball Camp
Please mail money/t-shirt size to Bryan Cottriel by June 22nd.
Mail to: Santa Margarita Catholic High School (Attn: Bryan Cottriel)
22062 Antonio Pkwy | Rancho Santa Margarita, CA 92688
Any questions please contact Bryan Cottriel at [email protected]
Player’s Name _____________________________
Grade_______
Camp________
Email address ______________________________ Contact Ph. #_______________________
T- Shirt size: XL
L
M
S
Youth: XL
L
M
S
(Circle one)
Camp 1 July 16th – 19th (4:30pm – 5:30pm)
Dates:
Camp 2 July 23th – 26th (5:30pm – 6:30pm)
Location:
Santa Margarita High School Gym
Tuition:
$90 per player per camp
Who may attend:
1st-6th grade
Make checks payable to:
Santa Margarita Volleyball Camp
Please mail money/t-shirt size to Bryan Cottriel by June 22nd.
Mail to: Santa Margarita Catholic High School (Attn: Bryan Cottriel)
22062 Antonio Pkwy | Rancho Santa Margarita, CA 92688
Any questions please contact Bryan Cottriel at [email protected]
Player’s Name _____________________________
Grade_______ Camp___________
Email address ______________________________ Contact Ph. #_______________________
T- Shirt size: XL
L
M
S
Youth
XL
L
M
S
(Circle one)
SMCHS hold harmless statement
Santa Margarita Catholic High School
22062 Antonio Parkway
Rancho Santa Margarita, CA 92688
Name of Student/Camper: First: __________________________ Last: ______________________________________
I voluntarily agree to participate or for my children to participate in this or these programs. The undersigned is (are) aware that participating in
these activities involves risk of injury to the above-named student. The undersigned hereby agree to assume any and all liability and agree to
hold harmless and indemnify the Orange County Catholic Diocese, Santa Margarita Catholic High School and all of their employees, officers,
directors, agents, volunteers or affiliated entities from any and all claims, damages, injuries, accidents or incidents which may arise or occur with
respect to the above-named student during the course of the activity.
Parent initial
I (We) hereby warrant and represent that the above-named student is physically fit and capable of taking part in such activity. I (we) make this
warranty and representation on the basis of advice given me (us) by a duly licensed medical doctor, and I (we) know of no change in his/her
medical condition since receiving such advice that would affect the opinion of said medical doctor.
Parent initial
I (We) further agree that the above-named student will abide by the rules and regulations governing the above described activity and to obey any
instructions given by the person or persons having supervision and control over the activity.
Parent initial
I (We) authorize the making of photographs, motion pictures, video tapes, recordings, or other memorializing of said event and the above-named
student's participation therein, and the publication or other use thereof. I (We) hereby waive any right to compensation therefore or any right that
I (we) otherwise might have to limit or control such making or use.
Parent initial
Should it be necessary for the above named student to receive medical treatment while participating in this activity, I hereby give the school
personnel permission to use their judgment in obtaining medical service for my child, and I give permission to the physician selected by the school
to render medical treatment deemed necessary by the physician. I understand that any insurance benefits that are effective have limited
application.
Parent initial
Student First Name:________________________ Last Name: _____________________________ Middle Initial:______
Previous School:________________________
*SMCHS Student #:____________________ *if applicable
Student Email:_____________________________________________________________________________________
Fall 2012 Grade Level:_______________________________________________________________________________
Parent/Guardian Name:______________________________________________________________________________
Parent/Guardian Address:____________________________________________________________________________
Parent/Guardian Email: ______________________________________________________________________________
Parent/Guardian Phone #’s: Home: (
)_________________________ Cell: (
)_____________________
Parent/Guardian Signature:___________________________________________________________________________
Date:____________________________________________________________________________________________