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    Please fill out this form completely and turn it in
    with your check or cash in the amount of $25 no later than June 19th
    to guarantee 2 Camp T-shirts.

    Coach Dez will be located in Chief Sealth’s Intl. High Schools Galleria
     to accept all of the above.

    Please make checks payable to Chief Sealth Int. High Volleyball

    C A M P  O V E R V I E W

    - Positional Skills Training - Agility & Jump Pursuit Training

    -Team Building Exercises - Team Focused Drills

    - Small Teams Bracket Tournament(s) - Additional Coaching

    — — — — — — — — — — — — — — — — — — — — — — — — — — — — —

    PLEASE PRINT ALL INFORMATION:

    If you are registering more than one participant, please use separate registration forms

    Participant Name (last, first) _____________________________________ MI: ______

    Age: ______ Grade: _____________ School: _________________________________

    Address:_______________________________________________________________

    City: ___________________________________ State:______________ Zip: ________

    Primary Phone(s): ________________________ ____________________________

    Parent/Guardian(s) (last, first) _____________________ _______________________

    Primary Phone(s): ___________________________ ___________________________

     Work Phone(s): __________________________ ______________________________

    Alternate Contact Information
    (In case of emergency and parent cannot be reached)

    1. Alternate Contact Person’s Name: _______________________________________
      Cell Phone: ______________________
      Secondary Phone: _______________________
       
    2. Alternate Contact Person’s Name:________________________________________
      Cell Phone: ______________________
      Secondary Phone: _______________________

    T-Shirt Size (circle your size):

    Youth XS Youth Small Youth Medium Youth Large

    Adult Small Adult Medium Adult Large



    LIABILITY WAIVER

    I understand that my child _____________________________________ will be participating in the Chief Sealth Int. High School Volleyball Camp from July 27th - 29th. Since this is a voluntary program, I will not hold the school, staff members, or volleyball participants liable for any accidental injury, which may occur. In case of a medical emergency, I do give consent for my child to be treated at the nearest emergency and/or seen by the school athletic trainer.

    Please list any health, allergy, and/or any required special medications or treatment, that should be made aware of for your child:


    Is there anything else we should know about your child?



    {PLEASE NOTE: THERE WILL BE TWO 1HR LUNCH GAPS, AND ONE 30MIN INTERMISSION OVER THE CAMP WEEKEND. ITS RECOMMENDED THAT EACH PARTICIPANT HAS A HEALTHY PACKED LUNCH}

    Participants may leave camp for lunch with proper consent. All participants are permitted to arrive back to camp ON TIME.

    Parent / Guardian Name:(first, last) __________________________________________ Parent / Guardian Signature: _______________________________________________

    For Official Use Only: Payment: (place amount per section)
    Cash: _____________ Check # ______________

    T-Shirt: (circle correct size)   YXS       YS YM YL    AS AM    AL