Youth Day Camp 2019
This camp is open to girls entering grades 5 through 9 in the Fall of 2019
First Name *
Your answer
Last Name *
Your answer
Address (Street) *
Your answer
Address (City) *
Your answer
Address (Zip Code) *
Your answer
Email Address *
We will use this address to send confirmation and notifications
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade in Fall of 2019 *
T-shirt Size *
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
RELEASE OF LIABILITY *
I, the undersigned, hereby certify that I am the parent or legal guardian of the participant. I herby give permission for the staff of Sound Volleyball Club to seek, during the period of the camp, appropriate medical attention and for the participant to receive medical attention and treatment. I, the undersigned, hereby acknowledge and understand that Sound Volleyball Club is a privately run program and is not operated by or through Connecticut College, but rather is under the sole sponsorship, control and supervision of the Sound Volleyball Club Directors. I, the undersigned, for ourselves, our heirs, executors and administrator, waive, release and forever discharge the Connecticut College and the Sound Volleyball Club staff, officers, agents, employees, representatives, successors and assign from any and all liability claims, demands, actions and causes of actions whatsoever arising out of or related to any loss, personal injury or property damage that may be sustained or occur during participation in camp activities or while at camp. I have read and understand the Release of Liability.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Sound Volleyball Club. Report Abuse - Terms of Service