2013 Volleyball Camps Registration

General Player Information

First Name *:     Last Name *:

AGE *:
-- Age -- 8 9 10 11 12 13 14 15 16 17 18

Address *:


City *:     State *: -- State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming     Zip Code *:

Parent Name *:
Parent Email *:
Parent Home Phone:
Parent Cell Phone *:

Player Information

School Name *:     Grade (Fall 2013) *: -- Grade -- 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th
Primary Position *: -- Select a Position -- Libero Opposite Hitter Outside Hitter Middle Hitter Setter Defensive Specialist * New to Volleyball     Secondary Position: -- Select a Position -- Libero Opposite Hitter Outside Hitter Middle Hitter Setter Defensive Specialist * New to Volleyball
Years Experience *: -- Years -- 0 years 1 year 2 years 3 years 4 years 5 years 6+ years
T-Shirt Size:
Youth Medium
Small
Medium
Large
X-Large
Club Team:
Roommate Requested: * overnight camps only
Transportation Needed From Airport?

Emergency Information

Allergies *:

Known Medical Condition(s) *:

Insurance Carrier *:     Policy Number *:
Emergency Contact Name *:     Relationship *: -- Relationship -- Mother Father Grandparent Guardian
Emergency Contact Day Phone *:
Emergency Contact Evening Phone *:

* denotes required fields

This is a legally binding release for the above named Minor child (hereinafter referred to as "Participant") executed by the above named Parent or Guardian to MUVB Camps (hereinafter referred to as "MUVB"). In this agreement, the terms "I" and "Undersigned" refer to the Participant's parent or guardian. 1.0: The Undersigned herby grants permission to Participant to participate in the MUVB Camps at Marquette University in the summer of 2013 ("activity"). The Undersigned further grants permission for Participant to stay overnight in Abbottsford or Carpenter Halls (if applicable) for the duration of the camp session. 2.0: In consideration of the Participant being permitted to participate in the activity, the Undersigned releases MUVB Camps (its employees and agents) from any and all liability, claims and actions not arising from MUVB's casual negligence, that may arise from injury or harm to the Participant or from loss or damage to any property belonging to the Undersigned in connection with this activity. The Undersigned grants permission despite the possible dangers and risks, and despite this Release. The Undersigned understands that MUVB does not require the Participant to take part in the activity. 3.0: The Undersigned submits that Participant is physically able to participate in the Activity. In the event of an emergency, the Undersigned grants permission to MUVB to administer first aid and/or obtain emergency medical treatment for the Participant. The Undersigned agrees to pay all expenses incurred due to any emergency involving Participant in conjunction with the Activity. 4.0: The Undersigned therefore agrees to assume and take on all of the risks, except for those risks specifically created by the casual negligence of MUVB, in any way associated with the Activity. The Undersigned also understands that this Release binds heirs, executors, administrators, and assigns of the Participant. I have read this entire Release; I fully understand it and I agree to be legally bound by its terms. 5.0: The Undersigned grants permission to MUVB to utilize Participants photograph, image, audio and/or video recording which is created by MUVB during Participant?s participation in the Activity.

I have read the legal statement above.