For your athletes:

Please give this form to your athletes to fill out and hand back in to you!


Name__________________________________

Grade Entering___________________________
High School______________________________

H.S. Coach______________________________

Emergency Contact #______________________

Phone Number # _________________________

E-mail _________________________________



______Option A: Varsity/Junior Level 3 Day Camp $75 (9-12 grade) $55 (5-8 grade)

______Option B: Varsity Intensive 3 Day Camp $125 (9-12 grade)

______Option C: Varsity/Junior Level 2 Day Camp $55 (9-12 grade) $35 (5-8 grade)

______Option D: Varsity Intensive 2 Day Camp $80 (9-12 grade)



Total Included: Camp fee = _______________
Make Checks Payable to Katy or Kari Peterson

My child does have health insurance. I understand that the camp staff, high school coach, nor the school district is responsible for any injuries that may occur to my child during volleyball camp.




Parent’s signature____________________________Date________________________