High Intensity Volleyball Camp

Registration Form
Please write the session, date and time you will attend this summer.

Session_____________________________  Date_________________________
Location____________________________________  Time_________________
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Name_____________________________________________________________
Address___________________________________________________________
City_______________________________  State_________  Zip______________

Email_____________________________________________________________
Phone____________________________________________________________

School____________________________________________________________
Grade_________  T-shirt Size_________  Amount Enclosed________________

Please print this registration form and return it with the Camp Fee of $80 to:

Ed Garza
1106 Doc Holliday Dr.
Anna,  TX  75409

Waiver/Release

As parent/guardian of ______________________________________________
and being of sound mind, I do declare as following:

I hereby release High Intensity Volleyball Camp, their agents, employees, or instructors on behalf of myself or my child, from any, and all liability for any accident or injury that may be sustained while participating in the above-mentioned activity.  I hereby release liability against any employee required to administer first aid or to obtain medical care from any licensed physician, hospital or medical clinic for the participant named herein when time is of the essence and/or when the parent/guardian cannot be reached.  I do declare the following is true and correct.

________________________________     ______________________________
Parent/Guardian Signature                        Date