....................
 

1-800-Catawba


To register for Player's Edge Volleyball Camp complete form and submit. 
Submission of this form serves as authorization to attend camp

Individual Registration/Application and Release for Treatment/Indemnity Statement.
All sessions are subject to a limited enrollment

Position Camp July 17-18, 2017      Session Begins 9 am, July 17        Camp Ends Noon, July 18

Position Camp
Resident $175
Day       $150  
**If player attends both Position and Team -- $25.00 discount

The following must be completed and submitted for an individual to attend camp.  This registration must be accompanied by a $50.00 non-refundable deposit/application fee which will apply toward the total cost of camp by May 1, 2017.  Balance is due by July 1, 2017. Please make checks payable to Player's Edge and mail checks to:

Player's Edge
1304 Wellington Hills,
Salisbury, NC 28147

For further information call Ginger Hamric (704)637-4480 or email gcashley@catawba.edu.

Name
Address
City
State
Zip
Day Phone#
Evening Phone#
Date of Birth
Adult T-Shirt Size
Grade in 2016
Age
Graduation Year
School Attending in Fall 2016
Playing Position
Advanced
Beginner
Parent/Guardian's Name

Medical Information
Date of last Tetanus Immunization
Any Allergies to medicines?
If so, please list

Any Conditions physicians should be aware of?

Person to notify in case of emergency

Family Health Insurance:
Policy Holder and Policy Number
Company Name and Address


I hereby authorize any actions which may be advised/recommended by a trainer, physician or other health care provider attending my child during camp.  I acknowledge and understand that my child may sustain physical illness or injury (minimal, serious or catastrophic), in connection with this camp.  I agree to indemnify and hold harmless Player's Edge Volleyball, its officers, employees and agents from and against any claims for personal illness or injury that my child may sustain during camp, regardless of cause, including negligence on the part of any person identified above.  I also give Player's Edge Volleyball permission to utilize any photograph of my child for promotional use.  I also understand that my child must abide by the camp rules and regulations and code of conduct developed for this camp.  I also understand that my child's failure to adhere to the rules, regulations, and code of conduct may result in immediate dismissal from camp, with no refund, and I will be responsible for providing transportation home once I have been notified.

I also understand that by checking the box below on this application serves the same purpose as my signature and that I understand all rules and regulations involved.
I have read, understand and  explained the Code of Conduct regulations to camper.

Parent or Guardian Check