2025 Summer Academy Camp

Urban Volleyball Club 2025 Summer Academy Camps Kind-4th Grades
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
Emergency Contact's Phone number
Athlete's Allergy Info: Drug Allergies/Food Allergies
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
Program Options*

Kin-2nd Grades (incoming) Mondays 5:30-6:30pm June 9th-30th $100.003rd-4th Grade (incoming) Tuesday 6-7pm June 10th-July 1st $100.00
Choose Form of Payment

Credit / Debit Card $103.25 (3.25% fee added) *Complete section below.Cash /Check $100.00 due at door upon registration
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 Camp$103.25

Includes a 3.25% credit card fee

Enter coupon

Total $0.00

Urban Volleyball Club 2025 Summer Academy Camps Kind-4th Grades