Pioneer Volleyball Skills Camp Registration
Date: June 17-20, 2019
Location: Stillwater High School Fieldhouse (Gymnasium)
1224 N Husband Street, Stillwater, OK 74075
Contacts: stillh2ovolleyball@gmail.com or Call Coach Liechti at 712-267-3912
Payments: Submit day of camp or mail by June 12th to PO Box 562 Stillwater, OK 74076
Make Checks payable to Stillwater Volleyball Booster Club
Player Name *
Your answer
Grade as of fall 2019 *
Your answer
Age *
Your answer
Volleyball Experience - describe
Your answer
Address
Your answer
T-shirt size *
What Day sessions will you attend? *
Required
I understand that I will have to pay the camp costs upon arrival or have paid by mail beforehand. *
Required
Known Food Allergies: *if player has food allergies, may need to send them with their own sack lunch *
Your answer
Any Medical Conditions *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Cell Number *
Your answer
Emergency Contact 1 Name and Phone Number *
Your answer
Emergency Contact 2 Name and Phone Number *
Your answer
I hereby waive and release the Pioneer Volleyball Summer Skills Camp of 2019 from any and all liability for any injuries or illness incurred during the times of the camp. *
Required
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