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Selah
5th & 6th Grade
Selah Volleyball Camp
May 18-20 & 22, 2015
2:30 – 4:30 p.m.
Selah Intermediate School
5th/6th Grade Camp is intended for students currently in 5th and 6th grade. It will focus on
individual skills and team instruction by Selah Volleyball coaches and High School players.
The drills will be fun and challenging. This is a fantastic opportunity to get a feel for what
7th grade volleyball practices will be like and experience the team system that will be used
during school ball. We will limit the camp to 36 players to ensure quality instruction. So
sign up early!
Cost: $40 (includes T-shirt)
Make checks payable to: Club Selah
~Bring a snack and water bottle
Questions: Contact Lisa 457-2865 or [email protected]
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Camp Registration
Name_________________________
Address_____________________________________________
Phone_________________________
Parent name(s)______________________________________
Current Grade__________
Email address:_______________________________________
T-shirt Size____________ (adult S, M, L, XL)
Medical Release
Medical Insurance Company_______________________ Subscriber’s name____________________________
Policy #___________________________ Group/ID #________________________________
Allergies, medications, conditions, limitations_____________________________________________________
I authorize my child’s participation in the 2015 Selah volleyball camp. The camp staff is authorized to attend
to any injuries my daughter may incur while attending camp. I understand that she must have current
medical insurance before attending. I will not hold Club Selah liable for any injuries or expenses relating to
injuries sustained at camp.
_________________________
_________________________________
Date
Signature
Mail registration form and money to: Lisa Fresco, 1411 SR 821, Yakima, WA 98901