Phone: 262-662-4430 or 262-352-7632 XL L M S Return To: Mary Pocius; W257 S7025 Oakdale Drive; Waukesha, WI 53189 Highlights The camp will include fun contests and game competition according to ability level. Each camper will receive a camp T-shirt. Signature of Parent/Guardian _____________________________________________ Date _____________________________________ ¨ 14/16 Adult Assistant Coaches The assistant coaches are high school or college players. 10/12 Contact Mary at [email protected] or by phone at 262-662-4430 or 262-352-7632 if you have questions. Place Park View Middle School Mukwonago, WI Corner of Hwy 83 & NN (across from Pick ‘N Save) ¨ Youth $54 Make checks payable to Mary Pocius (check memo: Pass – Set – Spike Camp) CIRCLE THE FOLLOWING: T-SHIRT SIZE Cost _______________________________________________ Phone #_____________________E-mail_________________________ ¨ Address_______________________________________________ School__________________________________________________ Instructor Mary Pocius is the lead instructor of the camp. Mary is CAP I certified and has organized and coached this camp since 1992. She has coached volleyball at various levels for over twenty years. She is currently the head coach of the Mukwonago High School girls’ varsity and Park View Middle School 8th grade girls. Dates July 6 – 9, 2015 1:00 p.m. - 4:00 p.m. ¨ Name__________________________________________________ Players will receive instruction in each of the fundamental skills of serving, passing, and spiking. Athletes will be introduced to offensive and defensive team play. Instructors will use a variety of drills to develop skills and allow maximum contacts with the ball. Hundreds of young players have attended these camps in past summers. PASS – SET – SPIKE VOLLEYBALL CAMP REGISTRATION FORM Camp Overview Grade Entering ’15 - ‘16_______________________________ For girls and boys entering 4th – 8th grades I, the undersigned parent or legal guardian of ______________________________ grants permission for the named minor to participate in the 2015 summer volleyball camp at Park View Middle School. I understand there is no medical insurance coverage provided to the participants in the camp and that there is a risk of injury to a person participating in an athletic activity such as volleyball. I release, hold harmless, the Mukwonago School District and organizers of the camp regarding any and all injuries or damages sustained except those resulting from willful or wanton misconduct. 2015 Pass – Set – Spike Volleyball Camp PASS SET SPIKE Volleyball Camp 4th - 8th Grade Boys & Girls FUN FRIENDS FITNESS Waukesha, WI 53189 W257 S7025 Oakdale Drive Mary Pocius July 6 - 9, 2015 Park View Middle School 930 N. Rochester, Mukwonago
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