Mansfield High School

MANSFIELD HIGH SCHOOL

2014 TIGER VOLLEYBALL CAMP

REGISTRATION FORM

Camper Name: ______Grade entering: ______

Address: ______

City: ______Zip Code: ______

Parent’s Name: ______Home #: ______

Work #: ______Cell #: ______

Emergency Contact: ______Number: ______

E-Mail: ______

Name of school entering next year: ______

Circle T-Shirt Size: Youth M L or Adult: S M L XL XXL

Circle the session you will be attending: #1 #2 #3 #4

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Please return this form and a check in the amount of $75.00 made payable to:

Judith McGill

2808 Grandview Drive

Grand Prairie, Texas 75052

Cash or Checks will be accepted at onsite registration.

It is highly recommended to pre-register.

______

I, as parent or guardian, hereby give my permission for my child to participate in the Mansfield Volleyball Camp and acknowledge the fact that she is physically able to participate in camp activities. I hereby authorize the directors of the camp to act for me in any emergency requiring medical attention, and acknowledge that I will be responsible for any cost (through medical insurance or otherwise) incurred due to sickness or injury to my daughter. I hereby waive any claim that I might have against the Mansfield Volleyball Camp, its workers, and MISD.

Signature of Parent or Guardian: ______

Printed Name: ______Date: ______