Meridian Junior High Volleyball Camp June 11-15, 2018 Each day builds the individual skills and techniques and team building learned, so it is recommended to attend all sessions, if possible. Session one:

Is designed for girls entering 5th and 6th grade during the 2018-2019 school year.

Time: 8-10:30am Location: Junior High Main Gym

Session Two:

Is designed for girls entering 7th and 8th grade during the 2018-2019 school year.

Time: 11:00-2:00 pm Location: Junior High Main Gym

Cost is $75.00 per Camper (or $15.00 per individual day) Registration & Payment Deadline: May 10, 2018 to guarantee t-shirt and camp giveaways

Clinician: Deb Smits (USA Volleyball Club Coach for 28 years) Coaches: MJHS/SVHS Coaches & HS/Alumni Players Questions? Contact Coach Smits at 815-703-7294, [email protected] Turn in form and monies to the Jr. High or Mail to: Meridian Junior High Volleyball Camp c/o Coach Jamie McCarty, MJHS 207 W. Main Street, Stillman Valley, IL 61084 Make check payable to Meridian Cusd #223

Player Name: _________________________________

Grade in 2018-2019 (circle one):

5th

6th 7th 8th

Parent/Gaurdian: ______________________________________

Home Phone: _________________________

Address: _____________________________________________

Cell Phone: ___________________________

Email Address: _________________________________________________________________________________ T-Shirt: YM YL AS AM AL AXL

Method of Payment:

Cash

Dates Attending (circle): All Camp Dates

or Select Individual Dates:

Check # ___________________ 6/11

6/12

6/13

6/14

6/15

Medical Waiver

A medical waiver must be signed by a parent or guardian. By signing this waiver, parent or guardian acknowledges possibility of injury at this camp, and hereby assumes full responsibility for medical bills as a result of any injury incurred. Meridian CUSD #223, Meridian Jr. High School, and Stillman Valley Volleyball Staff are not responsible for any treatment or financial payment in the event of any injury to the athlete. Parent will be contacted immediately upon injury. If life threatening, emergency services will be contacted. ___________________________________________________________________________________________ Signature of Parent/Guardian

____________________________________________________ Date