Lady Tiger Volleyball Camp
The Lady Tigers will be hosting 2 camps for skills development this summer.

Saturday, June 3rd for students in grades 3-5 in the 2023-2024 school year.
Saturday, June 10th for students in grades 6-8 in the 2023-2024 school year. 
Both camps will run from 9 am - 12 pm and will include a volleyball to keep.

Please fill out a separate form for each student.

Multiple Sibling Discount -  (Must be an immediate family member) 
1st Child $30 each additional child $25. 

Pre-Register - $30
At the Door - $35

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Select appropriate camp date: *
Student First Name *
Student Last Name *
Grade Fall of 2023 *
Parent Cell Number *
Allergies/Medical History to be aware of *
Medication *
Date of Birth *
MM
/
DD
/
YYYY
Age as of June 1, 2023 *
Address, (Street & City) *
EMERGENCY CONTACT 1 (Name & Phone Number) *
EMERGENCY CONTACT 2 (Name & Phone Number) *
Family Physician  
Family Physician Phone Number
 Insurance Provider
Insurance Subscriber ID #
By my signature(s), I (we) give approval for the above child to participate in any and all activities of the Volleyball Skills Camp. I (we) assume all risks and hazards incidental to the conduct of the activities. I (we) agree to release, absolve, indemnify, and hold harmless the Meigs Co. HS Volleyball Players, coaches and supervisors in the case of injury to our child during these activities. I (We) also agree that the MCHS Volleyball players & coaches may photograph this event and those photos may be used on our website or other media for future advertising. ****TYPE NAME & DATE FOR SIGNATURE*** *
Medical Authorization To whom it may concern: If neither parent can be contacted in the case of injury or illness, I hereby authorize representatives of the MCHS Volleyball Coaching Staff to act as my agent to secure emergency medical treatment for ______________ , a minor child for whom I am responsible, at the nearest hospital, when in the opinion of the representatives, such emergency medical treatment is deemed appropriate during the time when my child is engaged in the camp activity. I hereby agree to hold the MCHS Volleyball Skills Camp and its representative harmless for exercising its judgment in authorizing such emergency treatment and said representatives are specifically authorized to sign any required medical emergency hospital treatment form on my behalf.  ****TYPE CHILD'S NAME & DATE BELOW*** *
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