father's name mother's nameHave you taken any of our camp before?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Athletic Information Have you played ClubV? # of years ? What Club ? What team ?
Position played: Height: Weight: Preferred hand:
Name of your school what grade? Team level (HS): Varsity Junior Varsity Freshman
Coach's name: Coach's phone #:
Have you taken any our camps? Date:Any volleyball camps attended?
Special Medical Conditions player, if any!
Emergency Contacts:and: Phone#s
In signing this form, I hereby waive release and forever discharge any and all claims which I or my child, may have or which hereafter accrue to me against the sponsors of this event, the organizers and any promoting organization, property owners, law enforcement agencies of public entities, special districts and properties and their respected agents, officials, and employees through by which the events will be held for any and all injuries which may be sustained by me directly or indirectly in connection with or arising out of my participation in or association with the event or travel to or return from the event. I further certify that I am or my child is physically able to participate in this event and have no physical or medical condition which would endanger me or others in this event. Parent / Guardian, Print:
Signature: ____________________________________________________Date:
* Mail this registration form along with your check payable to: Spike Sport Club 10914 S Gessner Rd Houston, Texas 77071 ________Phnoe (713)777-7453 / E-mail:spikesport@sbcglobal.net Check #:Check Amount:*add $10, (if not 2 weeks advance), Camp's # & Date: