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ZONA VOLLEYBALL CLUB Fall Ball Mini Camps Powered By Docstoc

           Who We Are
                       &                                                                   ZONA VOLLEYBALL CLUB
           What We Do
                                                                                              2005 Fall Ball
  Zona Volleyball Club is a non-profit 501(c)(3)
  organization that provides the highest level of
     volleyball training in Southern Arizona.

In addition to summer and fall volleyball camps,
                                                                                                     All-skills volleyball
Zona offers volleyball training and competition for
                                                                                                   instruction for boys and
female athletes in grades 5-12 who want to play
                                                                                                      girls in grades 3-8.
 volleyball outside of their school season. The
   club volleyball season runs from December
  through June. Registration for the 2006 club
 season will begin in late September. If you are
 interested in finding out more information about
                                                       ZONA VOLLEYBALLL CLUB
   our club program, please visit our web site.

                                                           2470 N. Adron Avenue
                                                           Tucson, Arizona 85715
                                                            Phone: 520-885-9866
                                                      Web: http://www.zonavolleyball.com
                                                        Email: zonavolleyball@cox.net
                                                                            Waiver and Release                                                                      Sign-up Form
Camp Information                                                  If the participant has a specific health condition, is on any medications,
                                                                  or has drug allergies, please enclose a separate paper explaining the
                                                                                                                                                     Sign up for:                              Day     Price

                                                                                                                                                         Fall Ball Session 1 (9/11)          Sunday   15.00
                                                                                                                                                         Fall Ball Session 2 (9/18)          Sunday   15.00
Celebrating 11 years of volleyball in the Tucson area, Zona       ATTENTION: Volleyball is a limited contact sport that involves jumping,
                                                                  running, and ball handling in a confined playing area. Due to the nature of            Fall Ball Session 3 (9/25)          Sunday   15.00
Volleyball Club offers the Fall Ball Mini-Camps to encourage      the sport, injuries may occur.

the growth of volleyball in Tucson. The camps are designed        I acknowledge that volleyball is an extreme test of a person’s physical and
                                                                                                                                                         Fall Ball Session 4 (10/2)          Sunday   15.00
                                                                  mental limits and that my participation in a volleyball camp can cause
to be a low-cost, low-risk introduction to volleyball. Athletes   potential death, serious injury, or property damage. With a full
                                                                                                                                                         Fall Ball Session 5 (10/9)          Sunday   15.00
                                                                  understanding of the potential risks, I hereby assume the risks of
will receive high-quality instruction led by A.J. Malis, the                                                                                             Fall Ball Session 6 (10/16)         Sunday   15.00
                                                                  participating in volleyball camp. I hereby take the following action for
                                                                  myself, administrators, heirs, next of kin, successors and assigns: a) I waive,
founder and director of Zona VBC. A.J. has over 15 years          release, and discharge from any and all claims or liabilities for death or         Total Amount Enclosed:
                                                                  personal injury or damages of any kind, except that which is the result of
of coaching experience ranging from elementary aged
                                                                  gross negligence and/or wanton misconduct of persons or entities listed
athletes to Pac-10 collegiate athletes. The support staff         below, which arise out of or relate to participation in volleyball camp, the
                                                                  following persons or entities: Zona VBC, camp directors, coaches,                  Camper Name
includes Zona VBC coaches, all of whom have multiple              representatives and agents of any of the above; b) I agree not to sue any of
                                                                  the persons or entities listed above for any of the claims or liabilities that I   Address:
years of coaching experience.                                     have waived, released or discharged herein; and c) I indemnify and hold
                                                                  harmless the persons or entities mentioned above from any claims make or                                             Zip:
                                                                  liabilities assessed against them as a result of my actions.
Camp Specifics                                                    Participant Signature/Date
What: Campers will receive daily skill
instruction and competitive play situations.                                                                                                         Parent Phone During Camp:
                                                                  If applicant is under 18 years of age, a parent or guardian must execute,
Instruction will be tailored to meet the needs of                 in addition to the foregoing waiver and release, the following, for and on
the campers each camp. With 6 courts, we                          behalf of the minor.                                                               Email:
are able to divide groups by age and/or skill to                  The undersigned parent and natural guardian or legal guardian of the               School (Fall 2005):
make cohesive learning situations.                                applicant (                                            ) executes the foregoing
                                                                  waiver and release for and on behalf of the minor named within. I hereby           Grade (Fall 2005):
Where: All camps will be held in the                              bind myself and all other assigns to the terms of the waiver and release. I
gymnasium at Palo Verde High School,                              represent that I have legal capacity and authority to act for and on behalf of
                                                                                                                                                     Insurance Plan:
             nd                                                   the minor named herein, and I agree to indemnify and hold harmless the
located on 22 Street, just west of Kolb.                          persons or entities named in the waiver and release for any claims or
                                                                  liabilities assessed against them as a result of and insufficiency of my legal     Policy/Group #:
Who: The camps are designed for male and                          capacity or authority to act for and on behalf of the minor in the execution of
female athletes of all skill levels in grades 3-8.                the waiver and release. I fully consent to my child’s participation in the         Emergency Contact Name/Phone (not parent):
                                                                  volleyball camp.
When: All camps will be held from 1:00pm-
3:30pm on the following dates:
Session 1: September 11                                           Parent/Guardian Signature/Date

Session 2: September 18                                                                                                                                                PLEASE MAKE CHECKS PAYABLE TO:
Session 3: September 25                                                                                                                                                    ZONA VOLLEYBALLL CLUB
Session 4: October 2
                                                                                                                                                                         2470 N. Adron Avenue
Session 5: October 9                                                                                                                                                     Tucson, Arizona 85715
Session 6: October 16                                                                                                                                                     Phone: 520-885-9866
                                                                                                                                                                      Email: zonavolleyball@cox.net
                                                                                                                                                                    Web: http://www.zonavolleyball.com