Volleyball Summer Camp 2024

Camper's Information

If you have more than 3 campers in the same household fill out another form.
How many campers are attending from your household?

Camper #1's Information
Camper #1's Name*

First NameLast Name
Camper #1's Birth Date*

MonthDayYear
Camper #1's Grade*
Camper #1's Gender

MaleFemale
Camper #1's T-Shirt Size*
Register before July 1, 2024 to guarantee shirt size, after July 1, sizes will be first come first serve with various sizes.

Camper #2's Information

Only complete this section if you have more than 1 child attending
Camper #2's Name

First NameLast Name
Camper #2's Birth Date

MonthDayYear
Camper #2's Gender

MaleFemale
Camper #2's T-Shirt Size
Register before July 1, 2024 to guarantee shirt size, after July 1, sizes will be first come first serve with various sizes.

Camper #3's Information

Only complete this section if you have more than 1 child attending
Camper #3's Name

First NameLast Name
Camper #3's Birth Date

MonthDayYear
Camper #3's Gender

MaleFemale
Camper #3's T-Shirt Size
Register before July 1, 2024 to guarantee shirt size, after July 1, sizes will be first come first serve with various sizes.

Parent/Emergency Contact Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Home Number*
Cell Number
E-mail
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship
Phone Number*
Alt. Phone Number
Indemnification:

I/We heareby authorize the director and members of the Belen Consolidated Schools District Volleyball Camp to act for me/us according to their judgement. In any emergency requiring medical attention I hereby waiver and release the camp and the individual directors and workers of all liabilty for any illness or injury incured by the above named participant while at the camp. I/we know and accept the risks related to the camp activities. I/we understand that any medical expenses resulting from participation in the camp are our responsibility.
Date*

MonthDayYear
Date
Signature*

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Photographs/Video

The parent/guardian agrees and consents to the posting of photographs or visual reproductions of the student in connection with regular and extracurricular activities on the district website or Volleyball Facebook page. The undersigned also understands that the use of any image is temporary and will not be stored by BCSin any permanent archive (digital or otherwise)
Date*

MonthDayYear
Date
Signature*

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Payment Information

For your first camper please choose the $50 camper registration, for additional campers in your household choose the Sibling Camper rate $45.

I agree Belen Eagle Volleyball will charge my card the amount of the camp registration fee. *

Camper Registration

$50.00 Quantitiy

Sibling Camper $5 discount for siblings in same household

$45.00 Quantity

Total

$0.00

2024 Belen Eagle Volleyball Camp