2015 Raider Volleyball Camp 1

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2015 Raider Volleyball Camp

Conducted by: Southridge coaching staff & current players

Players Name______________________________________ Present Grade_____


Age_____
Players Address_____________________________________ City__________
Players Phone Number________________ Cell________ Email__________________
Shirt Size (circle one) YS

YM

YL

AS

AM

AL

AXL

Due by MAY 22 to guarantee a shirt.


June 6, 2015 at Southridge High School Gym
_______ Morning Session 9:00-12:00 Girls entering 2nd-5th grades

_______ Afternoon Session 1:00-4:00 Girls entering 6th-9th grades


The cost per session is $20.00
Checks should be made payable to Sarah Rogers Volleyball Fund and
mailed with attached application to:
Sarah Rogers
310 Redbud Ln
Jasper, In 47546
More info: Sarah Rogers 615-504-0113, email: rogerss@swdubois.k12.in.us
Assumption of Risk and Parental Consent
Players Name:___________________________ Parents/Guardians
Name:________________
Emergency Phone Number:________________________
Assumption of risk and parental consent
I understand that the camper will be engaging in physical activity and therefore
contains an inherent risk of physical injury. The undersigned assumes the risk and releases
Coach Rogers, Coach Kamman, Coach Buse and Southridge High school and the SWDubois
School Corporation from any and all liability for personal injury arising out of the applicants
participation in the volleyball camp at Southridge High School.

Parents/Guardians Signature___________________________________________

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