Summer Lady Panther Volleyball Camp
3 Monday's in June (4th, 11th, 18th) for Completed Grades K-5 from 1pm to 4pm ; FUNdamental camp of volleyball skills. All at the High School PAC
Email address *
Campers First Name: *
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Campers Last Name: *
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Grade just Completed: *
Did a High School Lady Panther invite you to this camp? If no, type no. If yes, please write her name in the blank. *
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Parent/Guardian First Name: *
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Parent/Guardian Last Name: *
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Parent/Guardian Contact Number: *
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Parent/Guardian Email: *
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Emergency Contact Name: (other than above) *
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Emergency Contact Number (other than above) *
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I would like to attend the volleyball camp *
I hereby certify that I am the parent/guardian of the above named camper. I grant permission for her to participate in the Lady Panthers Volleyball Camp and acknowledge that she is physically able to participate in all camp activities. I hereby release the camp from all claims from injuries or illness which may be sustained by our camper. I authorize the director to give or authorize medical treatment to our camper when and if the situation should arise. Electronically TYPE/Sign your name. *
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I will mail payment to: SSHS ATTN: Volleyball Camp 700 W Progress Ave, Siloam Springs, AR 72761 *
A copy of your responses will be emailed to the address you provided.
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