Milbank Volleyball Camp 2017

Name ___________________________________

Player contact/cell: _________________________________

Grade next fall _______ 

5th-6th Choose one: Beginning or Basic

9th grade Choose one: C team level or JV/Varsity (this is at the discretion of the coaching staff)

Address ___________________________________

City _______________________

Phone # ____________________________

Often checked email ___________________________________________

School __________________________

For grades 9-12...Position(s) _________________________________

T shirt size (circle one)  Adult sizes:   S   M   L   XL     Youth sizes:  S   M   L   XL

 

I understand the Camp directors will not be held responsible for injuries. I authorize the directors to act for me
according to their best judgment in any emergency. The camp directors will not be held responsible for the
payment of this emergency. Any hospital or doctor fees that are a result of a camp injury will be the responsibility
of the parents or guardian. I also acknowledge that the above student is physically ready for the activity of the volleyball camp.

Parent/Guardian Signature ______________________________

Date ____________

Parents’ Insurance ___________________________________

Make checks payable to Milbank Volleyball Team
Please return sign up and payment by June 2.
Late sign up after June 2 will be accepted, but we will limit the sessions to a maximum number of participants and tshirts may not be available.

Return to Milbank High School.  1001 E Park Ave.  Milbank, SD 57252