All Star Volleyball Camp Registration

List one camper per registration

Email address *

Camper's Name *

Grade Level in the fall *

Parent's Name *

Parent's Phone number *

Camper T-shirt Size *

Will there be a sibling attending? If yes, list the name and grade of sibling.

Media Release *

I, the parent/guardian, agree to give permission for All Star Volleyball Camps to use my or my child's photograph publicly to promote the camp. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty fee or other compensation shall become payable to me by reason of such use.

I do NOT wish for my child's photograph to be used to promote the volleyball camp.

Required

Emergency Medical Contact Name and Number *

Physicians Name and Number *

List any medical conditions we should be aware of:

Parent Release, Waiver and Liability

In the event of an emergency situation, I hereby authorize the All Star Volleyball camp staff to obtain medical attention for my child. I hereby waive and release both the ASVC staff and CISD from any liability for the injury and/or illness that might occur while participating in the camp. I understand as an active participant in volleyball that an accident or injury may occur. Upon typing my name as I would sign it, I am informing CISD I understand the school district is not responsible for any accident or payments resulting from such an accident. We understand that Conroe ISD does not cover insurance for the Volleyball Camp. I, the undersigned, have read the 2019 Camp disclaimer and accept the terms.

Signature *

Date of aggreement *

YYYY

Select the online Payment you will make. *

K-4th grade 11:30a-1pm $80

K-4th grade (Sibling Registration)11:30a-1p $65

5th-8th grade 9a-11a $110

5th-8th grade (Sibling Registration) 9a-11a $95

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