2021 Volleyball Registration

Monday June 21 – Wednesday June 23
Grades 3-4 8:30-10:30 | Grades 5-6 11:00-1:00

Third and fourth grade camp is 8:30 – 10:30 AM
Fifth and sixth grade camp is 11:00 AM – 1:00 PM
For boys and girls entering third through sixth grade in the fall of 2021
This is an introductory camp on basic skills of indoor volleyball
Participants receive a t-shirt and volleyball
Registration is $25/per child and the deadline is Monday, June 14

Parent First Name *

Parent Last name *

Primary Email Address (to receive updates) *

Secondary Email Address (to receive updates)

Emergency Phone Number *

Home Address (Street) *

City *

State *

Zip Code *

Number of Children Attending *

My child may be photographed *

How did you hear about us?

What church do you attend?

First Child

Child #1 First Name

Child #1 Last Name

Child #1 Grade (in fall 2021)

Second Child

Child #2 First Name

Child #2 Last Name

Child #2 Grade (in fall 2021)

Third Child

Child #3 First Name

Child #3 Last Name

Child #3 Grade (in fall 2021)

Fourth Child

Child #4 First Name

Child #4 Last Name

Child #4 Grade (in fall 2021)

Allergies, medical conditions, medications, or any considerations regarding your child’s health (reference child # above)

I, the legal parent/guardian, grant my permission to attend the Gloria Dei Lutheran Church Volleyball Camp. I hereby release Gloria Dei Lutheran Church from any and all liabilities in case of accident or illness. I authorize any medical care deemed necessary by an accredited physician, nurse, medical personnel, or hospital while attending the Volleyball Camp.