2020 Camp Registration August 3-6, 2020 Registration is now open for the 2020 P3R Volleyball Summer Camp. Please select the camp below and complete all required information: Bold = Required Field Player Information Select Camp: JV Tryout Prep Camp (Grades 9-10) Noon-1:30pm Beginner/Middle School Camp (Grades 5-8) 2:00pm-3:30pm JV Tryout Prep Camp (Grades 9-10) 4:00pm-5:30pm Advanced/Varsity Camp (Grades 10-12) 6:00pm-7:30pm Player's First Name: Last Name: Address: City, State, Zip: -- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Home Phone: Date of Birth (mm/dd/yyyy): Age at Camp Start: -- 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Parent/Guardian Information Parent Name (First, Last): Parent Phone/Cell: Parent Email: School Information School: Grade (Fall 2020): -- 2 3 4 5 6 7 8 9 10 11 12 Club Team (Spring 2020): Played for P3R in 2020: -- Yes No Athletic/Physical/Other Information Height: -- 4'0" (48") 4'1" (49") 4'2" (50") 4'3" (51") 4'4" (52") 4'5" (53") 4'6" (54") 4'7" (55") 4'8" (56") 4'9" (57") 4'10" (58") 4'11" (59") 5'0" (60") 5'1" (61") 5'2" (62") 5'3" (63") 5'4" (64") 5'5" (65") 5'6" (66") 5'7" (67") 5'8" (68") 5'9" (69") 5'10" (70") 5'11" (71") 6'0" (72") 6'1" (73") 6'2" (74") 6'3" (75") 6'4" (76") 6'5" (77") 6'6" (78") 6'7" (79") 6'8" (80") 6'9" (81") 6'10" (82") 6'11" (83") 7'0" (84") Dominant Hand: -- Left Right Position 1: -- OH MH RS S L/DS Position 2 -- OH MH RS S L/DS Years Playing Volleyball: -- 1 2 3 4 5 6 7 8 9 T-shirt Size: -- Youth L Youth XL S M L XL Medical/Emergency Contact Information Allergies: Known Medical Condition(s): Insurance Carrier: Policy Number: Emergency Contact Name: Relationship: -- Mother Father Grandparent Guardian 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
Registration is now open for the 2020 P3R Volleyball Summer Camp. Please select the camp below and complete all required information: