MPS Volleyball Open Gym Summer 2025

Mondays and Wednesdays

June 23 – August 13

7:00 – 9:00 p.m.

Held at Jonathan Law High School
20 Lansdale Avenue, Milford, CT 06460

Our Volleyball Open Gym program is designed for girls grades 7 – 12. This
is a supervised but non-instructional program, with five courts available and
volleyballs provided. It’s a great way for veteran players to get in shape –
and for girls new to the game to see what it’s all about. We look forward to
meeting you!

One-Time Program Fee: $42 (for the entire summer), Milford residents only

For More Info, Contact:
Pat Simon (203) 215-5015 or pat78simon@gmail.com

Player's Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Email (for confirmation)*

example@example.com

School Entering Fall 2025*

Grade Entering in Fall 2025*

Parent to contact*

First NameLast Name

Parent to contact's Phone number*

Please enter a valid phone number.

Other Emergency Contact 1

First NameLast Name

Other Emergency Contact 1's Phone Number

Please enter a valid phone number.

Other Emergency Contact 2

First NameLast Name

Other Emergency Contact 2's Phone Number

Please enter a valid phone number.

All student-athletes are covered for injury
by an Excess Insurance Policy. If a student-athlete is injured, the student-
athlete’s insurance will be billed first and bills not covered by the insurance company will be submitted to the school district’s insurance.

By signing below:

I give consent for my daughter to attend the MPS Volleyball Open Gym. I understand that such activities have the potential for injury inherent in allsports/activities. I give my permission to the appropriate school staff or medical personnel to render emergency treatment. I hereby waive MPS Volleyball Open Gym from liability for injury or illness incurred at the open gym program.

Parent Signature*

Parent's Typed Name*

First NameLast Name

Will you be paying online with a credit/debit card or offline with a check?*

Please make checks for $42 payable to MILFORD PUBLIC SCHOOLS and send to
Pat Simon, 105 Wilcox Road, Milford, CT 06460.

My Products*

MPS Volleyball Open Gym One-Time Program FeeEntire summer, Milford residents only

$42.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

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Milford Public Schools Volleyball Open Gym Summer 2025