2009 Badger Camp Form

Badger Volleyball
It's Go Time!

Parental Consent Form

Camper: _________________________

Please provide the following information about the above camper:

Allergic reactions & current medications: ___________________________________

In case of EMERGENCY call:

_______________________________ Relation _____________________ OR _______________________________ Relation _____________________

I hearby certify the staff of the Bennington High Volleyball School has full and unconditional authority to proceed with treatment as judgement indicates. The staff of Bennington High Volleyball School shall not be held responsible for any consequences resulting from such treatment.

I also declare that I am the parent/legal guardian for the above named minor

Signed:________________________

Date: _________________________

Sign-up Form

*Athlete Name:*
Address:
City
Age
Grade (in Fall)
Parents Name:
Other Sports Played: BB Track SB Golf
Shirt size: YM YL S M L XL
The Bennington Badger Volleyball camp cannot be held responsible for injuries sustained at camp. All campers must carry their own insurance. Please complete the Parental Consent form on back before returning this application. This must be completed in order to participate in this camp.

Completed form and payment must be received before camper will be able to participate.

Please make check payable to: Bennington Volleyball

If you have any questions, please call Coach Scott Romans at 301-8505 or E-mail at: scott@badgervb.com

Is Athlete interested in playing club volleyball in 2010? Y N
	If yes: Date of Birth _____________

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Parental Consent Form