2019 COM Camp Registration
Please Select a Camp Session *
Camper's First Name *
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Camper's Last Name *
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Camper's Age *
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Entering Grade for the 2018 - 19 School Year *
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Camper's Shirt Size *
Prior Volleyball Experience *
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Parent's First Name *
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Parent's Last Name *
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Address *
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City *
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Zip Code *
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Best Contact Number *
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Email Address *
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Emergency Contact *
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Emergency Contact Phone Number *
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Medical Insurance Carrier *
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Insurance Policy Number *
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Photo Permission *
My camper may be photographed. Photos will be put on the website for campers (and parents) to enjoy.
Camp Cancellation Policy *
50% of registration fee will be refunded up to two weeks prior to camp. No refund will be issued within two weeks of camp start date. I understand the cancellation process.
WAIVER OF LIABILITY, MEDICAL RELEASE AND INDEMNIFICATION AGREEMENT RELEASE AND LIABILITY WAIVER *
This is a legally binding Consent Form and Release of Liability made voluntarily by me, the undersigned Releasor, on my own behalf, and on the behalf of my heirs, executors, administrators, legal representatives and assigns to College of Marin. By the execution of this waiver of liability form, I acknowledge that the student listed above is capable of participating in the activities. I also assume all risks of the student participating in the activities, whether such risks are known or unknown to me at this time. I release and hold harmless this organization, leaders, volunteers, and any agents from any claim the student or I may have due to the result of any injury or illness incurred during participation in the College of Marin volleyball camp. I accept and assume full responsibility for any and all injuries, damages, and losses that may occur to the student from any participation in the camp activities. It is my understanding that the student participating in the volleyball camp through College of Marin is a privilege. I acknowledge that participation in these activities may inherent certain risks, including physical injury due to activity related accidents, illness, or even death. I also understand that there may be other risks due to these activities that I may not be aware of at this time. In an emergency, I acknowledge that I am solely responsible for all medical and other costs arising out of bodily injury or any loss sustained through participation in this camp. I authorize program staff to secure any licensed hospital, physician and/or medical personnel for any treatment deemed necessary for the participant's immediate care. I understand and agree to the terms.
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