Lady Warrior Volleyball Camp

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					                Lady Warrior Volleyball Camp

      Who: All girls interested in volleyball entering grades 3-8 for the 2011-2012
school year.

      What: Opportunity to learn the basic fundamental volleyball skills in a fun
environment with personal attention from the high school coaching staff and
players. All campers will receive a t-shirt

         When: June 14-17                     Grades: 3-6 5:00-6:15 p.m.
                                                      7-8 6:30-8:00 p.m.

         Where: Smithville High School Gym

Any questions please contact Leah Wahl at or Janna
Horton at 816-509-5330 or

 Please detach and send this portion of the form and payment ASAP to ensure t-shirt sizes: Smithville Volleyball Booster
                         Club. Attn: Leah Wahl 645 S Commercial Ave Smithville, MO 64089

Name:_____________________________                                        Grade (11-12 school year)______

T-Shirt size: Youth: S M             L                 Adult: S      M     L

Parent/guardian name:_______________________________________ Phone #_____________
(best number to contact during camp hours)

Camp fee: $40 If received after June 1 please pay $45
Make checks payable to Smithville Volleyball Booster Club

Insurance: It is expressly understood that sponsors of the Lady Warrior Volleyball Camp do not insure
against, nor accept responsibility for property loss, damage, or personal injury to the participant, which
may be sustained as a result of camp participation. Parents or legal guardian are responsible for medical
care, treatment, and insurance for each participant.

Release Waiver: In consideration of the above-mentioned athlete to participate in the Lady Warrior
Volleyball Camp the undersigned, intending to be legally bound, do release, and forever discharge any
and all rights and claims for damages, including any claims for loss, damages, or injury to athlete’s person
or property arising out of athlete’s performance or failure of performance from: Leah Wahl, her staff,
Smithville School district, agents, successors or assigns.

Parent/Legal Guardian Signature __________________________________ Date_______________


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