Summer Volleyball Camp Form
May Madness: $20/Session.
Ages 4th - 8th Grade Girls. All Thursday Nights in May from 6-7:30 pm.

June Jam: $20/Session. 
Ages 9th - 12th Grade Girls. Tuesday and Thursday Nights in June from 6-7:30 pm.
 
Gym Address:
Murray Sports Complex 
908 4th St SW Conover, NC 28613

Payments will be accepted at the gym:
- Cash
- Check - Chloe Towery
- Venmo - @Chloe-21 (4993 Last 4 Digits)

May Madness Dates: All 6-7:30 pm
Thursday 2nd
Thursday 9th
Thursday 16th
Thursday 23rd
Thursday 30th

June Jam Dates: All 6-7:30 pm
Tuesday 4th
Thursday 6th
Tuesday 11th
Thursday 13th
Tuesday 18th 
Thursday 20th

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Pick a Summer Camp *
Athlete's Name: *
Athlete's Age: *
Parent/Guardian Name: *
Parent/Guardian Phone Number *
Parent/Guardian Email:
Payment Preference *
CAMP RELEASE AND WAIVER OF LIABILITY: This to certify that my athlete is physically fit to participate in all activities at the volleyball camp, and has had a recent physical exam. I understand that playing or participating in the above sport(s) may be a potentially dangerous activity with the risk of injury. I understand that in any contact sport, such as the sport involved at this camp, an athletic participant can be seriously hurt. I am aware that the dangers and risk of my child/ward playing or participating in the above sport include, but are not limited to, falls, contact or collisions with other participants, equipment and facilities and the effects of weather, including heat and humidity. I understand that my child/ward may incur a serious injury including paralysis or death, as a result of the dangers and risks associated with the above sport(s). I have certified to the coach, by my signature below, that my child is in good health and physical condition and sufficiently able to participate in the camp. I understand that the coach recommends that my child/ward obtain a physical examination to identify any physical condition or limitation of which I might not be aware that could affect her participation in the above named sport(s). I have advised the coach of any limitations on my child/ward’s activities for medical reasons. Knowing and having been informed of the potential dangers and risks associated with playing the above sport(s), and in consideration of my child/ward being allowed to participate in the camp, I hereby agree on behalf of myself, my family members and my child/ward to assume all such risks and further, to waive, release, discharge and hold harmless Chloe Towery and the respective assistant coaches, camp instructors and volunteers from any and all liability actions, causes of actions, claims or demands for personal injury, death or property damage of any kind or nature, and any other claim whatsoever arising out of, or in any way connected with my child/ward playing and participating in the above sport and camp. This Release and Waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The terms hereof shall serve as an assumption of risk, release and waiver for myself, my family, my child/ward and our heirs, executors, administrators, guardians or anyone else who might assert a claim on our behalf. I hereby consent to permit the coach and staff working at the camp to provide emergency first-aid or medical treatment for my child/ward according to their best judgment, in the event she suffers an injury or illness while participating in the camp or on the camp premises.
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MEDIA RELEASE: Coach Chloe Volleyball will record most Camp Sessions and post the videos to our YouTube channel @coachchloevball. This is for the benefit of the girls to go back and watch how they played/practiced. This is a wonderful tool for athletes to utilize so that they can see what skills they are exceeding at and what skills need improvement. 

I hereby give permission for the staff of Coach Chloe Volleyball the right to use photographs and video taken of my child participating in Summer Camp Programs and activities for promotional and teaching use on its website www.chargersvolleyballclub.com and/or social media sites like YouTube, Instagram and Facebook. I hereby agree to release, defend and hold harmless Coach Chloe Volleyball, it’s staff, officers, directors, board members, coaches, agents, employees, representatives and successors from and against any claims, damages or liability arising from or related to the use of the photographs or video for promotional and teaching purposes.  
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