3rd-6th Grades (incoming) Summer Academy Camp Registration

Urban Volleyball Club 2025 Summer Academy Camp (3rd thru 6th Grades )

3rd and 4th Grades (Incoming) Mon thru Thur July 14th - July 17th
5th and 6th Grades (incoming) Mon-Thur. July 14th -July17th
3rd and 4th Grade Mon. 5:00-6:00 July 14th -17th5th and 6th Grade Mon. 6pm -7pm July 14th - 17th
Athlete Registration
Name*

First NameLast Name
Grade
D.O.B
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Parents Name
Phone Number

Area CodePhone Number
Email
example@example.com
Athlete's Emergency Contact Name:
Emergency Contact's Phone number
Athlete's Allergy Info: Drug Allergies/Food Allergies
3rd and 4th Grades (incoming) M-Th July 14-17 5pm to 6pm5th and 6th Grades (incoming) M- Th July 14-17 6pm to 7pm
Medical Release Waiver

Participants agree to assume all risks and responsibilities for any and all claims for damages, Including personal injury or death, including the contraction of Covid-19, medical expenses,disabilitiy,lost wages of earnings, capacity and property damages which may be incurred by Participant while engages in athletic games, events,practice sessions, conditioning sessions ect while at UVC and travel if any.
Medical Release Signature

First NameLast Name
Urban Volleyball Gym Address

6267 Friendship Rd Tolar Tx 76476

Club Director: Bridgette Matthews 254-396-3417

urbanvolleyballclub@gmail.com
Credit / Debit Card $103.25 (3.25% fee added) *Complete section below.Venmo @Tommy-Matthews-UVC
If paying by credit card there is a 3.2% fee added to total cost.

We offer a $10 discount for each additional sibling.

Enter coupon code 001 for $10 off for sibling discount.

Credit/Debit Card

Academy$103.25

Includes a 3.25% credit card fee

Enter coupon

Total $0.00

Credit Card

Should be Empty:

Urban Volleyball Club 2025 Summer Academy Camp (3rd thru 6th Grades )

Athlete Registration

Credit Card