2022 ECJ Fall Clinic Sign Up
Fill out this form to indicate which of our clinics you plan to attend this fall.
There are 3 clinics for beginners and 3 for intermediate/advanced.
*intermediate/advanced will be defined as having at least 1 year of school and/or club experience*

Reminders:
Clinics are at our facility "The Kage" at 1225 Hwy 72 NE
Clinics are open to girls and boys ages 8 and up
Clinics cost $20 - this can be paid at the door
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Email *
Player First Name *
Player Last Name *
Best Email for Contacting You *
Best Phone Number for Contacting You *
Select Your Level of Play *
August 21 Clinics (select if you're attending) *
Required
September 11 Clinics (select if you're attending) *
Required
October 16 Clinics (select if you're attending) *
Required
What school do you attend?  *
What grade are you in? *
How old are you? *
Please read this agreement. If you agree, type your name and the date in the box provided (this counts as your electronic signature): I hereby authorize the staff of Emerald City Volleyball to use their best judgment when acting in any emergency requiring medical attention & I hereby waive and release the coaches and Emerald City Juniors from any and all liability for injuries or illnesses incurred while at the camp. I have no knowledge of any physical impairment that could affect the before-named camper's participation in the camp program. I understand that I am required to maintain & carry medical insurance coverage for the person listed on this application & verify that the coverage information attached is accurate & true. I understand the clinic is not responsible for lost or stolen articles. I also understand the camp retains the right to use, for publicity & advertising purposes, photographs of campers at the clinic. *
Please let us know if you have any questions (if none, type n/a): *
A copy of your responses will be emailed to the address you provided.
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