For Grades 4th-8th June 8th, 9th, and 10th 9am-12pm @ Middleton High School Cost $35 (includes T-shirt) Please make check payable to MHS Volleyball Return to MHS office or mail to 12981 Okie Ridge, Caldwell, ID 83607 Contact Coach Jan Arrasmith @ 989-2425 or [email protected] with questions -----------------------------------------------------------------------------------------------------------Participant Name___________________________Grade:____________ Address __________________________________________________ City, ST __________________________________ Zip ____________ Parent Name ______________________________________________ Parent Phone Number __________________Email:_________________ Emergency Contact _________________________________________ Emergency Phone Number ____________________________________ T-shirt size: YS YM YL YXL AS AM AL AXL (circle size) Medical Release I hereby authorize my child’s participation in the 2015 Little Spiker’s Camp at Middleton High School. I know of no physical, mental, emotional or behavioral problems which may affect my child’s ability to safely participate. I understand it is my responsibility to ensure that my daughter has current and active medical insurance before she may attend and confirm here that she does. I authorize the camp staff to act on my behalf should any health problem or injury occur. Neither I nor my daughter will hold Middleton High School or any person associated with this camp liable for any injuries/illnesses sustained while my daughter is at camp. Date _________ Signature of Parent/Legal Guardian ____________________________ If referred by a high school player for camp, please write players name:__________________