2019 St. John's Mukwonago Volleyball Camp
What: St. John's Mukwonago is offering a summer volleyball camp for 1st-8th grade.

Where: At St. John's Lutheran School Gym (410 Veteran's Way Mukwonago, WI 53149)

When: Tuesday June 11th-Thursday June 13th
1st-2nd Graders: 9:30-11:00am
3rd-5th Graders: 11:30-1:30pm
6th-8th Graders: 2:00-4:30pm

Cost: $20/child. Includes T-shirt

For more information please call the St. John's office at 262-363-4999

Please fill out one form per child, thank you!

Child's Name:
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Child's Birthdate:
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Grade going in to for the 2019-2020 school year?
Child's T-Shirt Size
Parent/Guardian Name:
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Street Address:
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Phone Number:
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Email:
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Emergency Contact: Name, Phone Number, Relationship
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Church Affiliation:
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St. John's volleyball camp leaders have my permission to photograph/film the minor designated above for any lawful purpose associated with this program.
Please list any allergies, special needs, or other concerns:
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St. John's volleyball camp cost $20 per child. Please pay by mail or stop in the office before May 20th. Payable by cash or check made out to St. John's with the child's name being paid for in the Memo. Mailing Address: St. John's Volleyball Camp 410 W. Veteran's Way, Mukwonago, WI 53149.
Waiver: The undersigned parent/guardian acknowledges that there are dangers and risks of injury inherent in sport activities, but still allows his/her child to participate in the volleyball camp at St. John's. Therefore, the undersigned, to participate in the St. John's volleyball camp, does hereby accept full responsibility for liability and cost of treatment of injury to the above registered person. The undersigned does hereby release the teachers/coaches/assistance and St. John's Lutheran Church and School from all liability resulting from negligence and agrees to hold them harmless for any injuries and/or damages his/her child may sustain arising out of the activities inherent in a volleyball camp. **Please give you electronic signature by typing your full name below.
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