ANDERSON BROTHERS VOLLEYBALL CAMP

ANDERSON BROTHERS VOLLEYBALL CAMP

Training from Michiana's most experienced coaches
Camp Description: Whether you are new to the game of Volleyball or want to improve your skills, this 3-day morning camp is for you. Get instruction from the most experienced coaches in Michiana. Please bring your own beverage. T-Shirts will be provided for all campers. Boys and Girls 4th grade - 12th grade may register.

Cost: $95 Payable by Check or Venmo
INSTRUCTIONS TO ATTEND

1. COMPLETE THE REGISTRATION FORM
2. IF PAYING BY CHECK, PLEASE SEND TO:

Dan Anderson

1220 E. Riding Mall

South Bend, IN 46614

3. WALK-UP REGISTRATIONS BEGIN AT 9:30 ON MONDAY MORNING
CAMPER REGISTRATION
NAME*
AGE*
Address*

ADDRESS

Street Address Line 2

CITYState / Province

ZIP
CAMPER EMAIL (if available)
example@example.com
CAMPER CELL (if available)
Format: (000) 000-0000.
PARENT EMAIL*
example@example.com
PARENT PHONE*
Format: (000) 000-0000.
SCHOOL*
GRADE(THIS FALL)*
Level of Volleyball Experience*
T-Shirt Size
ANDERSON BROTHERS LIABILITY WAIVER

Participants under 18 must have a parent or guardian complete this form on the participants behalf.
NAME OF PARTICIPANT*
CELL PHONE*
Format: (000) 000-0000.
EMERGENCY CONTACT PERSON*
CELL PHONE OF EMERGENCY CONTACT*
Format: (000) 000-0000.
As the Participant named or as the Parent or Guardian of the participant above, I give my permission to participate in this volleyball training activity. I approve the supervisors who will be in charge of this program. I recognize that the leaders are serving to the best of their ability. I also certify to the best of my knowledge that the participant named hereon is physically fit to engage in the activities described herein.
Signed*

Clear
Date*

MonthDayYear
Date
FOR MYSELF OR AS THE CUSTODIAL PARENT OR COURT-APPOINTED GUARDIAN OF THE PARTICIPANT NAMED ABOVE, I DO FOR BOTH OF CHILD'S PARENTS, FOR CHILD AND CHILD'S HEIRS AND SUCCESSORS, RELEASE THE ANDERSON BROTHERS VOLLEYBALL CAMP, DAN AND STEVE ANDERSON, AND ANY OF ITS AGENTS OR REPRESENTATIVES (ALL OF THE FOREGOING COLLECTIVELY "ANDERSON BROS VOLLEYBALL CAMP") FROM ALL CLAIMS ARISING OUT OF OR CONNECTION WITH PARTICIPATION IN THIS CAMP. I PROVIDE THIS RELEASE BECAUSE | AM MINDFUL THAT ATHLETICS, PHYSICAL TRAINING, AND COMPETITION CAN BE A DANGEROUS UNDERTAKING REGARDLESS OF HOW CAREFUL OR PRUDENT ANY PERSON, FIRM, OR FACILITY MIGHT BE.
Should be Empty:

ANDERSON BROTHERS VOLLEYBALL CAMP

CAMPER REGISTRATION

ANDERSON BROTHERS LIABILITY WAIVER