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Volleyball Camp Registration
Home
Athletics
Athletic Camps
Volleyball Camp Registration
(
*
) denotes required information.
*
Select appropriate camp registration:
Overnight Camper ($365)
Day Camper ($290)
Camper Last Year
A $100 non-refundable deposit must be received by the volleyball camp office in order for this registration to be activated. Deadline for deposit is no later than July 1, 2012.
*
First Name:
*
Last Name:
*
Birthdate:
Age at time of camp:
Grade (entering in Fall 2012):
6th
7th
8th
9th
10th
11th
12th
*
Address:
*
City:
*
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip:
*
Email:
Name of School Attending:
Coach Name:
Coach Number:
Number of Years at Camp:
1
2
3
4
5+
Roommate Request (one only):
*
Parent/Guardian:
*
Phone:
*
Emergency Phone:
*
Medical Insurance Company
*
Policy Number:
Please note any conditions of which we should be aware:
I hereby authorize a representative of Gettysburg College Volleyball Camp to take my child to a physician or hospital, should the need arise.
*
Signed by Parent/Guardian:
*
Relationship to Camper:
Date:
*
Select your t-shirt size (adult sizes):
S
M
L
XL
Please make checks payable to LVB Volleyball Camp.
Fee: $365 overnight, $290 day camper.
A $100 non-refundable deposit will activate your registration when the check is received.
Mail to: LVB Volleyball Camp at Gettysburg College
300 North Washington Street; Campus Box 400
Gettysburg, PA 17325
Questions? Call Coach Bernier at (717) 337-6410.
Note: there will be no refunds after on-campus registration begins.