STAR Volleyball - Wythe 2021 - Registration Form
We are very excited for our Star Volleyball Camp at George Wythe High School on July 19 and 20. We can accept Wythe County Volleyball players, currently, we cannot accept out of county residents. If you have any questions or concerns about the camp, please email Paige Williams at paige.williams@wythek12.org.

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Email *
Participant Name *
Participant Age *
Grade Level (for 2021-2022 school year) *
Address *
Parent/Guardian Name *
Parent/Guardian Cell *
Parent/Guardian Email Address *
Participant Volleyball Experience - School Ball & Club Ball *
Participant Position *
Required
Participant T-shirt Size *
Medical Authorization: If during the course of my daughter's activities in this volleyball camp; should she become ill or sustain an injury, I herby authorize you to obtain emergency medical care. I agree not to hold Star Volleyball Services or the camp hosts liable for any injury she may sustain while she is participating in camp activities. I authorize medical treatment for my child in the event she needs such treatment and I am unavailable to give consent. By entering your name below, it will serve as an electronic signature. *
Medical Authorization Date *
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YYYY
* In the event of emergency, please list an emergency contact in the case that the parent/guardian cannot be reached.* Emergency Contact Name *
Emergency Contact Phone Number *
Please indicate below if there are any specific medical or health concerns that camp staff need to be aware of. Please include any medication that the athlete may have on their person during camp. (inhaler, epi-pen etc.) If none, please answer N/A. *
A copy of your responses will be emailed to the address you provided.
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