2018 PACT Volleyball Clinic Registration
Learn new skills, improve on what you already know and have fun with your friends!

Instructor: Lisa Murphy

WHO: 4th-6th grade girls

WHEN: June 4, 5, 6 & 7th
9 am – 11:30 am

WHERE: PACT Charter School Gym

COST: $50 (includes a t-shirt)


Questions: L.murphy@pactcharter.org or PBC President Tina Stone tstone323@gmail.com

Participant's Last Name *
Your answer
Participant's First Name *
Your answer
Participant's Grade *
Required
Shirt Size *
Required
Parent/Guardian First and Last Name *
Your answer
Parent/Guardian email address: *
Your answer
Parent/Guardian Cell Phone Number (for emergency) *
Your answer
If participant has any health or physical concerns, please describe:
Your answer
I give the Panthers Booster Club permission to use my child's photo for future event promotion or photo uploads to the PBC Facebook page or other social media. *
I hereby agree to release PACT Charter School, Panthers Booster Club, coaches, and players from any medical liability in the event my child is injured during the clinic. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Soulo Communications. Report Abuse - Terms of Service