Victory Sports - Girls Volleyball Enrollment

Victory Sports Camp

Chesterfield County, SC

Summer 2023
But thanks be to God! He gives us the victory through our Lord Jesus Christ.1 Corinthians 15:57

Participant Enrollment Form

Victory Sports Camp is a summer camp for students who have completed 1st-6th grade

Venue: Lower Macedonia Baptist Church (5267 Teals Mill Rd, Chesterfield, SC)

Date: July 17-21

Time: 9am-4pm

Grades: 1st-6th grade (completed)

Fee: No Charge

Participants will choose one sport from the following list:
Baseball/Softball (bring your glove- we have extras if needed)
Soccer (shin guards required- we have extras if needed)
Football
Basketball
Cheer

Volleyball

Please note that campers will remain in the same sport throughout the week. Campers are unable to switch sports once camp begins.

Camp Schedule:
9am-noon: Sports Camp
Noon-1pm: Lunch (provided)
1pm-4pm: Vacation Bible School

Paper forms can be mailed to:
Victory Sports Camp
c/o Lisa Robson
2923 Evans Mill Rd.
Chesterfield, SC 29709

Contact Details: Lisa Robson (local) at mlvrobson@gmail.com,

or Mia Pendarvis (Victory Sports)- vso@comporium.net

Sponsored by Chesterfield County area churches

Participant Information
LAST Name*
FIRST Name*
Gender*

MaleFemale
Grade just completed:*
Birthday*

MonthDayYear
Date
Parent/Guardian Name*
T-Shirt Size*

Contact Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Mobile)*

Area CodePhone Number
Phone Number (Home)*

Area CodePhone Number
Email (Primary)*
example@example.com
Email (Secondary)
example@example.com

Additional Details
Medical Concerns or Food Allergies
Special Notes:
Do you currently attend a local church?

NoYes
The name of your local church:

Sports Camp
First Choice Sport (please note that children remain in the same sport during the week, and once camp begins, they are unable to switch sports):*
Choice of sport for the week
Second Choice Sport (if the first choice needs to be canceled due to low interest):*
Second Choice

Photo Authorization
I/we authorize the VSO or its designees, to create, have and use photographs, slides, and videos containing my child"s image for its record keeping or marketing/public relations programs (must click yes or no):*

Yes, I agreeNo, I don't agree

Release of Liability
I have been informed of the above activity sponsored by Victory Sports Outreach, Inc. (VSO). Therefore, I now consent for my minor child to participate in this activity. I understand that the leaders of this activity will take all reasonable safety precautions and that the possibility of an unforeseen hazard does exist. Therefore, I further agree not to hold Lower Macedonia Baptist Church, partner churches/sponsors, or VSO employees and volunteer staff liable for damages, losses, diseases, or injuries by the minor listed on this form. I consent to any medical treatment that may be deemed necessary for my minor child. Further, I understand that all efforts will be made to contact me before treatment. If I cannot be reached in an emergency, I permit the activity leader to make the necessary decisions for treatment. Should there be no activity leader available, I authorize the attending physician to treat my minor child. Finally, I understand that the doctors, dentists, and other providers attending to my child will take all reasonable safety precautions during their care. Therefore, on behalf of myself and my heirs, administrators, and executors, I, at this moment, release and hold the Victory Sports Outreach and its officers, partner churches, employees, volunteers, agents, and contractors harmless from all such claims for injury and damage. I understand that I would not be permitted to participate in any VSO program or use any VSO or partner facility or equipment without acceptance of this agreement. By selecting the check box, you agree to and accept the above terms and conditions.*

Yes, I agree
Should be Empty: