(June 8-10) MHS Volleyball Camp

For Grades 4th-8th
June 8th, 9th, and 10th
9am-12pm @ Middleton High School
Cost $35 (includes T-shirt)
Please make check payable to MHS Volleyball
Return to MHS office or mail to 12981 Okie Ridge, Caldwell, ID 83607
Contact Coach Jan Arrasmith @ 989-2425 or njarrasmith@gmail.com with questions
-----------------------------------------------------------------------------------------------------------Participant Name___________________________Grade:____________
Address __________________________________________________
City, ST __________________________________ Zip ____________
Parent Name ______________________________________________
Parent Phone Number __________________Email:_________________
Emergency Contact _________________________________________
Emergency Phone Number ____________________________________
T-shirt size: YS
YM YL YXL AS AM AL AXL (circle size)
Medical Release
I hereby authorize my child’s participation in the 2015 Little Spiker’s Camp at Middleton High
School. I know of no physical, mental, emotional or behavioral problems which may affect my
child’s ability to safely participate. I understand it is my responsibility to ensure that my daughter
has current and active medical insurance before she may attend and confirm here that she does. I
authorize the camp staff to act on my behalf should any health problem or injury occur. Neither I
nor my daughter will hold Middleton High School or any person associated with this camp liable
for any injuries/illnesses sustained while my daughter is at camp.
Date _________ Signature of Parent/Legal Guardian ____________________________
If referred by a high school player for camp, please write players name:__________________