july 18 20 - amazon web services · i hereby certify that my child is physically fit to participate...

I hereby certify that my child is physically fit to participate in the TROJAN VOLLEYBALL CAMP. I hereby voluntarily assume all risk of accident or injury to my child which may arise out of his/her participation in this program, and therefore release Greg Hodge, all personnel associated with this program, Lassiter High School and the Trojan Volleyball Camp from any and all liability that may result from my child’s participation. I give permission for such diagnostic, therapeutic, and operative procedures as may be deemed necessary for my child should he/she be injured. I UNDERSTAND THAT I SHALL ASSUME ALL FINANCIAL RESPONSIBILITIES FOR CARE OF MY CHILD. All medical bills shall be sent directly to my residence CONSENT FORM Consent to Medical Treatment and Release Of Liability _____________________________________________ Print Camper’s Name _________________________________________________ Parent/Guardian Signature Date _______________________________________________________ Emergency Phone _______________________________________________________ Email (camp correspondence comes via email) _______________________________________________________ Insurance Carrier Policy # Visit the LHS Lady Trojan Volleyball website @ www.lassitervolleyball.net July 18-20 2016 Two sessions: Rising 3rd-5th graders 9:00 am – 12:00 pm Rising 6th-8th graders 1:00 pm – 4:00 pm

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I hereby certify that my child is physically fit to participate in the

TROJAN VOLLEYBALL CAMP. I hereby voluntarily assume

all risk of accident or injury to my child which may arise out of

his/her participation in this program, and therefore release Greg

Hodge, all personnel associated with this program, Lassiter High

School and the Trojan Volleyball Camp from any and all liability

that may result from my child’s participation. I give permission

for such diagnostic, therapeutic, and operative procedures as may

be deemed necessary for my child should he/she be injured.

I UNDERSTAND THAT I SHALL ASSUME ALL FINANCIAL RESPONSIBILITIES FOR CARE OF MY CHILD. All medical bills shall be sent directly to my residence

CO NS E NT FOR M Consent to Medical Treatment and Release Of Liability

_____________________________________________ Print Camper’s Name _________________________________________________ Parent/Guardian Signature Date _______________________________________________________ Emergency Phone _______________________________________________________ Email (camp correspondence comes via email) _______________________________________________________ Insurance Carrier Policy #

Visit the LHS Lady Trojan Volleyball

website @ www.lassitervolleyball.net

July 18-20

2016

Two sessions: Rising 3rd-5th graders

9:00 am – 12:00 pm

Rising 6th-8th graders 1:00 pm – 4:00 pm

Page 2: July 18 20 - Amazon Web Services · I hereby certify that my child is physically fit to participate in the TROJAN VOLLEYBALL CAMP. I hereby voluntarily assume all risk of accident

LASSITER TROJAN VOLLEYBALL CAMP FOR

BOYS AND GIRLS

Lassiter High School Gym

*** Director: Head Coach, Greg Hodge

*** Instructors: Head Volleyball Coach, Greg Hodge *** Camp Staff: 2015 Trojan Volleyball teams

*** Skills covered (all skill levels): passing, setting, serving, blocking, and court movement. *** Cost: $85.00 Grades 3-5 $115.00 Grades 6-8 T-SHIRT INCLUDED

REGISTRATION DEADLINE July 13, 2016

What to bring: T-shirt, shorts, gym shoes, kneepads, water bottle Both sessions will have pizza on Wednesday

2016 LHS Volleyball

PLEASE PRINT

Full Name_______________________________________ Address_________________________________________ City___________________ State______ Zip__________ Grade in Fall 2015 ____________________ High School District ___________________ Parent (s)________________________________________ Home Phone________________________ Work Phone_________________________ Email ___________________________________________ T-shirt Size Youth M L

Adult S M L XL

Enclose check payable to:

LVBBA/Lassiter Volleyball Camp

Return Registration to:

Coach Greg Hodge

Lassiter High School 2601 Shallowford Road

Marietta, GA 30066

Visit our website @ www.lassitervolleyball.net or contact

Vicky Muetterties Ph: 404-309-1142

Email at [email protected]

Supplier Database... · 1 Suppliers are hereby invited to register voluntarily as prospective suppliers on the database of the North West Provincial Legislature. 2. The completion

TROJAN TROJAN TROJAN TROJAN