Please print and fill out the form below and send it with your payment:
Make checks payable to "Foothill Volleyball".   Mail to : Weaver
                                                                                                       4427 Chevy Chase Dr.
                                                                                                       La Canada, Ca 91011

Name____________________________________________

Address:__________________________________________
City:__________________________  Zip:________________
School:__________________ grade next fall____  (M/F)____

Parent name: ______________________________________
phone# (home)__________________(cell)_______________
email:__________________________

Emergency contact:_________________________________
phone #_____________________

T-shirt size: 100% cotton         S  M  L XL  (adult)   S M L XL (youth)

Session:  1  2  or both     
please circle one

                     Consent and release authorization and emergency treatment form

I hearby give my full consent and approval for my child to participate in the Foothill Volleyball Camp.  I am the parent or legal guardian of the child named on the registration form.  I am willing to assume the risks of injury in practice and play at this camp on behalf of my child.  My child is fully capable of participating in this camp, and I know of no physical or mental disabilities that would limit full participation in camp activities except as listed below.  I hereby waive and release the Foothill Volleyball Camp organization, its staff, coaches, sponsors, and representative of any injuries incurred while at camp.  In the event I cannot be reached by phone I authorize the camp staff to obtain medical treatment for my child and will accept full financial responsibilty.

physical limitations (allergies, diabeties, etc.)____________________________________________
Parent/guardian (signature)_______________________________Date__________________
Medical insurance carrier_________________________policy number_____________________

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