File - Logan Youth Volleyball

LOGAN SUMMER VOLLEYBALL CAMP 2015
DATE:
June 22, 23, & 24
TIME:
Grades 1-4
Grades 5-8
WHERE:
Logan Middle School Gym
COST:
$40
9:00-11:00am
12:00-2:00pm
Make Checks payable to: Logan Athletics
$30 for each additional child, within immediate family.
For any questions or concerns please contact Coach Brittany Hall at bhall@lhsd.k12.oh.us
PLEASE RETURN OR MAIL BOTTOM PORTION WITH PAYMENT TO LOGAN HIGH
SCHOOL ATHLETIC DEPARTMENT 14470 ST. RT. 328 LOGAN, OHIO 43138
________________________________________________________________________
LOGAN SUMMER VOLLEYBALL CAMP 2015
PARTICIPANTS NAME: ________________________________________________________
GRADE THIS FALL: ___________ T SHIRT SIZE (CIRCLE): YS YM YL AS AM AL XL
MOTHER/FATHERS NAMES: ___________________________________________________
PHONE NUMBER: (_______)_______________ EMAIL: ______________________________
EMERGENCY CONTACT: ______________________________________________________
PHONE NUMBER: (_______)_______________ RELATIONSHIP: ______________________
MEDICAL CONDITIONS: _______________________________________________________
I, ____________________________ (parent/guardian signature) understand that this form is
considered a release of responsibility for the student named above. I agree that I will not hold
Logan-Hocking School District, the instructors, or other persons associated with the volleyball
camp responsible for an injury or accident my child may receive while participating at camp.