Madeline Gugich Volleyball Camp

ZHS 2015 Volleyball Camp
Boys and Girls Ages 7 - 14
Open Registration will be from April 20 - May 15, 2015
If you do not pre-register you will be able to register the morning of camp with a late fee of $15
Fee: $125
or $25 non-refundable deposit with balance ($100) due May 26
Days: May 26 – May 29
Time: 8:00am – 12:00pm
Player Information (please print clearly)
Name:_________________________________________________________________
Address:________________________________________________________________
Grade Entering Fall 2015 : ____________
All Campers will receive a t-shirt
Age : ____________
Size: YM YL AS AM AL AXL AXXL (please circle shirt size)
Parent/Guardian Contact Information (please print clearly)
Name:__________________________________________ (relationship to camper)____________
Cell:_____________________ Email Address:___________________________________________
I hereby authorize the directors of this Volleyball Camp to act for me according to
his/her best judgment in the event of an emergency requiring medical attention. I know
of no mental or physical problem which might affect my child's ability to safely
participate in this camp. I will be responsible for any medical or any other charge in
connection with her attendance at camp. I agree to abide by the rules and regulation of
the camp.
X _______________________________________________________(Parent/Guardian Signature)
Please mail forms to: Zachary High School
4100 Bronco Lane
Zachary La 70791, attn. Janie Tidwell
For more information or questions email: [email protected]
PLEASE MAKE CHECKS TO: Madeline Gugich or Cash