q  q 

LEE COLLEGE

SUMMER CAMPS

GRADES 3 - 12

PO Box 818, Baytow

n, Texas 77522-0818

Lee College Center for Workforce Community Development Permission/Emergency Registration Form This form must be completed, including the parent or legal guardian signature for students 17 years or younger. Registration forms must be submitted to the Community Education O�ce in person, by mail, or fax.

Student Information (please print all information)

Last Name First Name M.I.

Address City State Zip

Primary Phone Birthdate Entering Grade q Male q Female

SSN# Email Address

Does this child have any disabilities, present injuries, allergies, hemophilia, heart conditions, history of respiratory illness, or any other signi�cant medical condition? q Yes q No If yes, please state: _______________________________________________________________

Parent/Guardian: ________________________________ 2nd Contact (relationship): __________________________

Home/Cell Phone: ______________ Home/Cell Phone: ______________

Work Phone: ___________________________________ Work Phone: ___________________________________

Employer: _____________________________________ Employer: _____________________________________

If I cannot be reached, please contact the person listed below: Full Name (family, friend): ___________________________ Phone: _______________________

In case of emergency, I hereby authorize treatment and/or care as deemed necessary by the Lee College sta�. Doctor’s Name: __________________________________ Phone: _______________________

Parent or Guardian’s Signature Date

Model Release: I q do q do not (check one) grant Lee College permission to use my name/child’s name, photograph, and comments for marketing, advertising, college relations, and promotional purposes. I understand I will not be paid for any use of my image in any Lee College marketing materials now or in the future.

Non-Release of Directory Information: I do q q  do not (check one) grant Lee College permission to release Directory information to the general public without written consent. Directory items include the student’s name, address, major, activities participated in, dates of attendance, and degrees and awards received.

Session: q Camp 1 (3 -7 grades) Camp 2 (8 -12 grades) Camp 3 (6 -9 grades) q Team Camp (Invitation Only)   8 am - 1 pm 2 - 7 pm 8 am - 1 pm 8 am - 1 pm

For O�ce Use Only

  q RD q FERPA Student I.D. Receipt # Date Initials

Non-Profit O

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PAIDLEE C

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V O L L E Y B A L L S U M M E R C A M P CAMP 1 JUNE 5 - 8 174KAC10001

Entering 3rd - 7th grade8 am - 1 pm

CAMP 2 JUNE 5 - 8 174KAC10002

Entering 8th - 12th grade2 pm - 7 pm

CAMP 3 JUNE 12 - 15 174KAC10003

Entering 6th - 9th grade8 am - 1 pm

CAMP 4 JUNE 19 - 22 174KAC10004

Team Camp8 am - 1 pmInvitation Only

CAMP REGISTRATION STARTS APRIL 1, 2017 Due to the overwhelming response from last year’s camp, only a limited number of applications per session will be accepted. Each session will be on a �rst-come, �rst-served basis.

FACILITIES All camps will be conducted in the Lee College Sports Arena and Gym. The arena was built in 2003 and has the capacity to seat 1,500 screaming fans. The arena also boasts a wellness center, multiple locker rooms, a training room, film room, and two regulation courts. Campers may also be using the auxiliary gym located next to the Lee College Sports Arena.

EQUIPMENT Campers should report each day wearing workout clothes, tennis shoes, and knee pads (if possible). No caps, watches, jewelry, or cell phones will be permitted, PLEASE! Lee College is not responsible for lost or stolen items.

COST All camps are $95 per person

CAMP FEATURES § Air-conditioned arena § Round-robin tournament § Certi�cate for all campers § Camp t-shirt §

§ Special Awards Opportunity to meet and

be coached by current and former Lady Rebels volleyball players

§

Daily prizes

TYPICAL DAY 30 min Stretching and warm-up period 30 min Demonstration of skills 30 min Small group work on skills 60 min Break (bring money or a lunch) 45 min Games (both skill speci�c and actual scrimmages) 10 min Stretching and cool down periods (announcements and door prize drawings)

AWARDS An awards ceremony will be held on the last day of camp. Parents are invited on this last day to observe tournament participation and the awards ceremony.

CAMP INCENTIVES A. Special Awards for:

• Best o�ensive player • Best all-around player • Best defensive player • Best blocker • Best passer • Best server • Best hitter • Most improved player

B. Tournament championship C. Emphasis on team play D. Leadership development through spirit of competition

CAMP OBJECTIVES § Each camper will leave with a positive attitude about themselves. § Each camper will leave the camp closer to reaching their full

potential on the court. § Each camper will be exposed on how to conduct themselves on and

o� the court through sportsmanship, competition, and learning how to deal with winning and losing.

§ Each camper will learn that to be successful they will need to �nd the dedication, desire, and discipline to be successful in volleyball and, most importantly, in life.

CAMP STORE The camp store will be open for business each day after camp concludes. Rebel merchandise and other items will be available for purchase. Lee College will provide a camp bank so campers can store their money without the fear of losing or misplacing it.

WAYS TO REGISTER In person: 909 Decker Drive, Baytown, TX

Fax: 281.425.6855 (Visa, MC, Discover, AMEX)

By Mail: Lee College Community Education P.O. Box 818 Baytown, TX 77522-0818

Online: www.lee.edu/workforce

For more information call 281.425.6311

Choose Payment Type:

q Cash q  Visa q  Discover q Check q  MC q  AMEX

Card Number

Exp. Date CVV Code

Print Cardholder Name

Please make all checks payable to Lee College.

Check #__________ TDL #_____________________

Exp. Date __________________

Registration fees are to be deposited into the Lee College volleyball fundraising account.

Camp Directed by TRACIE JOHNSON Head Coach at Lee College for 29 years

Career Highlights § Winningest volleyball coach in the NJCAA § Region XIV Coach of the Year

(1997, 1999, 2000 - 2003) § Winningest volleyball coach in Lee College and

NJCAA History § 2001 NJCAA National Runner-Up, ending the

season ranked #2 nationally § Ranked in the top ten nationally four times

(1999 - 2002) § Region XIV Conference Champions six times

(1997, 1999 - 2003) § Quali�ed for the NJCAA National Tournament six

times (1997, 1999 - 2003)