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Beginning & Intermediate Camp $150 July 11 – 14, 2016

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Beginning & Intermediate Camp $150 July 11 – 14, 2016
Beginning & Intermediate Camp $150
July 11 – 14, 2016
6:00 pm – 9:00 pm
Come join our coaches as we increase your child’s volleyball knowledge. Our staff will instruct
your children in the basic skills of volleyball. Ages 7 and up. Campers will be split up by age and
playing ability.
Please register by Friday - July 1, 2016. Fill out Registration Form, sign Release Waiver and
return with check or money order. After July 1, there will be an additional $20 added to the
entry fee for camp and there will not be a guarantee of a t-shirt.
Mail to:
PBSC VOLLEYBALL, Attn: Coach Colvin MS#41, 4200 Congress Ave., Lake Worth, FL 33461
Questions or Concerns
Call Coach Colvin at 904.655.2048 or email [email protected]
Registration Form
Name:
Parent Name:
Phone:
Parent Name:
Phone:
List all Allergies:
Address:
Phone #:
Email:
School:
Age:
Grade:
Release Waiver
I, ______________________________ intending to be legally bound hereby, agree to release from
liability and to indemnify and hold harmless Palm Beach State College, and any of its employees or
agents representing or related to the college as regards to Campus Guest Visitation. This release is for
any and all liability for personal injuries (including death) and property losses or damage occasioned by,
or in connection with any activity or accommodations for this event. The undersigned further agrees to
abide by all the rules and regulations promulgated by Palm Beach State College and/or its affiliate
groups and vendors throughout the Campus Visit.
Guest Name
/
Signature of Parent/Guardian
Date
/ 2016
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