COUGAR CUB VOLLEYBALL CAMP

INFORMATION
2011

Campbellsport Youth Volleyball Program will be holding a volleyball camp

for girls and boys in grades 1-3 and 4-6.

Grades 1-3 will be held on March 5 and 12 from 9:00 a.m. to 10:15 a.m.
@ Campbellsport High School

Grades 4-6 will be held on March 5 and 12 from 10:30 a.m. - Noon.
@ Campbellsport High School

Camp cost is $20 per camper. This cost includes instruction and camp
t-shirt.

This camp will focus on the teaching of the fundamentals of volleyball. An

emphasis will be based on learning the skills of serving, passing, setting, spiking,
and basic strategies of the game. This camp is designed to have fun while
learning about volleyball.

Please sign the attached form and return to your school office. All forms
must be in by February 25, 2011. Please make checks payable to Campbellsport
Youth Volleyball. If you have any questions, please feel free to contact Coach
Heidi Olson @ olsondh19@gmail.com or (920) 960-6209.
 COUGAR CUB VOLLEYBALL CAMP
REGISTRATION FORM

First Name:______________________ Last Name:_______________________

Age:__________ Grade:__________ School:__________________________

Address:_________________________ City: ______________ Zip:___________

Home Phone #:_____________________ Cell ___________________________

Emergency Contact:__________________ Relation:_________ Phone #:_________

Email address:______________________________________________________

Child’s T-Shirt Size: Youth: M L Adult: S M L

Waiver and Proof of Insurance

I hereby authorize the league staff to act for me, according to their best judgment, in any
emergency requiring medical attention, and herby waive and release Tomball High School coaches
from any and all liability for any injuries or illnesses incurred while at this league. I have no
knowledge of any medical problem or physical impairment that would affect the above named
participant to safely participate in this league program as outlined in the brochure. I certify that
the above named participant is covered by a medical insurance policy in case of illness or injury.

Medical Insurance Company__________________Policy #____________

Signed (Parent or Guardian)_____________________ Date:__________