CAMP REGISTRATION (CHECK ONE SESSION) - PLEASE COMPLETE MULTIPLE FORMS FOR MULTIPLE REGISTRATIONS!

INTERMEDIATE #2      JULY 26-29 (Tue-Fri)      8:30 am-12:30 pm      COST: $85     WAIT LIST ONLY!

ADVANCED      JULY 26-29 (Tue-Fri)      1:00-5:00 pm      COST: $85     OPENINGS AVAILABLE!

PLAYER INFO
Name:    Gender: Female   Male

School NEXT YEAR ('11-'12):    Grade NEXT YEAR ('11-'12):  4th5th6th7th8th9th

T-SHIRT SIZE
Youth Medium (10-12)  Youth Large (14-16)  Adult Small  Adult Medium  Adult Large  Adult XL

PLEASE NOTE: CAMPERS WILL BE GIVEN THE T-SHIRT SIZE ORDERED, EXCHANGES WILL NOT BE POSSIBLE!

CONTACT INFO
Parent Name(s):    Email: 

**PLEASE INCLUDE AREA CODE**
Home Phone:    Cell Phone:    Cell Phone: 
Other Phone Numbers: 

Street Address:    City:    State:    Zip: 

EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below. If these designees are not available, I further consent to the
transfer of my child to the hospital listed below (or any reasonably accessible hospital).

Physician:    Dentist:    Hospital: 

LIABILITY RELEASE SECTION
I, the undersigned, as a parent/guardian of: , a minor, ask that he/she be admitted to
participate in the Alter Volleyball Summer Camp. In consideration of this admission, I do agree to release, discharge, and hold
harmless Alter High School and South Metro Sports, their officers, agents and employees of and from all causes, liabilities, claims,
damages, or demands whatsoever on account of any injury or accident involving said minor during minor's attendance and
participation in the Alter Volleyball Summer Camp or during activities held in connection with the camp.

Parent/Guardian Signature: ___________________________________________  Date: ________________