Delaware Boys Volleyball Summer Jam 2021
Official Camp Registration
Player Name
*
First Name
Last Name
Player Age
*
Day(s) Attending
*
Monday, July 26th
Tuesday, July 27th
Wednesday, July 28th
Thursday, July 29th
Player Shirt Size (Only if registering for all four days)
S
M
L
XL
Player Skill Level
*
Beginner
Intermediate
Advanced
Parent or Legal Guardian Name
*
First Name
Last Name
High School
*
Parent or Legal Guardian Name
*
First Name
Last Name
Parent or Legal Guardian Email
*
example@example.com
Parent or Legal Guardian Phone Number
*
Please enter a valid phone number for the emergency contact.
Format: (000) 000-0000.
Venmo $40/day or $150 for the whole camp to @delawaremvolleyball
Please write Player's Name in the Venmo description. Registration is not complete until payment is received.
Venmo link
https://venmo.com/code?user_id=3298435016949760626&printed=1
Waiver of Injury Liability, Media Permission, COVID-19 Guidelines
Prior to my student's participation in such activities, I acknowledge that there are certain risks associated with playing or practicing the sport of Volleyball. I understand the dangers and risks of playing and or practicing the above sport include but are not limited to: (i) death, serious neck and spinal injury which may result in complete or partial paralysis or brain damage(ii) serious injury to virtually all bones, joints, ligaments, muscles,tendons, and other aspects of the muscular-skeletal system (iii) serious injury or impairment to other aspects of my body, general health and well being. Financial Risk Due To Injury: I am aware of the potential cost due to medical assistance. I acknowledge that Dickinson Volleyball, Delaware Boys Volleyball Coaches Association, and University of Delaware Men's Club Volleyball is not financially responsible for any injury listed above that I am victim to or that I inflict on another. Dickinson Volleyball, Delaware Boys Volleyball Coaches Association, and University of Delaware Men's Club Volleyball will not provide or cover the cost of any medical attention received due to any of the stated injuries. I am acknowledging that I, the signer, and any person(s) that I am a dependent of have valid health insurance. Media Permission: On occasion, Dickinson Volleyball, Delaware Boys Volleyball Coaches Association, and University of Delaware Men's Club Volleyball or its representatives takes photographs or makes an audio or video recording of students and/or adults involved in activities. I consent to any video or audio record of the student named above to be used on social media, or any way they see fit. COVID-19 Guidelines: My student will adhere to all the relevant COVID-19 guidelines. My student will act and conduct themself in a professional manner when dealing with issues of public health. My student will adhere to all of the CDC COVID-19 regulations, protocols, and guidelines at all times across the duration of this camp including but not limited to (i) wearing a mask in all public areas (ii) social distancing at least 6ft apart.
Parent or Legal Guardian Signature
*
Date
*
-
Month
-
Day
Year
Date
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