2019 Camp Registration
 

Registration is now open for the 2019 P3R Volleyball Summer Camp. Please select the camp below and complete all required information:
 

 Bold = Required Field

 Player Information
Select Camp: P3R Skills Camp (July 9-11)
Player's First Name:  Last Name:
Address:
City, State, Zip:    
Home Phone:
Date of Birth (mm/dd/yyyy):     Age at Camp Start:

 Parent/Guardian Information
Parent Name (First, Last):  
Parent Phone/Cell:
Parent Email:

 School Information
School:
Grade (Fall 2019):
Club Team (Spring 2019):
Played for P3R in 2019:

 Athletic/Physical/Other Information
Height:
Dominant Hand:
Position 1:     Position 2
Years Playing Volleyball:
T-shirt Size:

 Medical/Emergency Contact Information
Allergies:
Known Medical Condition(s):
Insurance Carrier:
Policy Number:
Emergency Contact Name:
Relationship:
Emergency Contact Phone 1:
Emergency Contact Phone 2:

By submitting this registration I agree that, being a parent or legal guardian of the child, does hereby affirm that the applicant is in good health and suffers from no illness, disability, or condition that requires the taking of medication on a regular basis unless that condition is disclosed and approved. Furthermore, the undersigned has no knowledge of any reason the applicant cannot participate in rigorous physical activity. The undersigned hereby expressly agrees to be responsible for any medical bill incurred in the treatment of any illness or accident. In the event of any such accident or injury, I hereby consent to allowing any of the club coaches/staff to procure any medical treatment deemed advisable on behalf of my child or ward without prior consent.
 
I understand that as a condition of admittance to the camp, the undersigned of behalf of all parents and guardians, and on behalf of the applicant, hereby releases P3R Volleyball Club and its staff from any and all liability from injury or illness, mental or physical, suffered by the player during or related to any club activity unless caused by willful or gross negligence by the person or entity against whom the claim is made.

I have read and agree to all terms and conditions above Parent or Guardian Initials for Consent