Youth Volleyball Summer Camp
Camp from 9:00 am-2:00 pm
Email address *
Player's Last Name *
Your answer
Player's First Name *
Your answer
Players Grade in the Fall *
Player's Beaverton Student ID#
Your answer
Parent Email Address *
Your answer
Player's Email Address *
Your answer
Player's Cell Phone # *
Your answer
Parent/Guardian Phone # *
Your answer
Emergency Contact Name and Phone Number *
Your answer
Physician Name and Phone # *
Your answer
Health Insurance Provider *
Your answer
Health Insurance Policy # and Group # *
Your answer
Does your child any special needs (e.g. allergies)? *
Your answer
Last Step: Paying for your camp
1. Click this link to open a separate tab to the Online Payment System - https://or-beaverton.intouchreceipting.com. You must have set up your ParentVue account to access the online payment system. Need assistance with activating your ParentVue? Contact the main office at 503-356-2890.
2. Make your payment online and return to this tab to record your receipt number below. If you are on the District Meals Program, your fee will be reduced to $60.
3. Hit SUBMIT to finalize your registration.

Questions: Contact Volleyball Varsity Head Coach - Matt Coghlan at mattsouthridgevolleyball@gmail.com
Payment Receipt #
Your answer
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