2024 Century Diamondback Volleyball Summer Youth Camp Registration Form
Please fill out the registration form to register your athlete for the DBack Summer Volleyball Youth Camp.  All campers that register and pay before May 24 will get a T-shirt and a discounted rate. If you have more than one athlete, please fill out a registration form for each athlete. Thank you for supporting CHS Volleyball!

The camp dates will be June 17 - 20. 
*Session 1 will include 3rd - 6th graders and will run from 9-11:30.  Cost for Session 1 is $65.00 for pre-registration or $75.00 at the door.
*Session 2 will include 7th - 9th graders and will run from 12:30 - 4:00.  Cost for Session 2 is $75.00 for pre-registration or $85.00 at the door.  **NOTE: 9th graders who paid for their summer workouts no not have to pay for camp.**

The camp will be led by Century coaching staff and coached by the current Century Volleyball athletes. Players will learn fundamentals, engage in team building exercises and have fun in game like situations.

Please make checks payable to CHS Volleyball and mail payment to:
Liz Cook, CHS Bursar
7801 Diamondback Dr.
Pocatello, ID   83204

Or, Venmo the school at @Century_High_School  (code is 8542)
Make sure you put the name of your athlete and Volleyball Camp as a description for the payment.  Thank you!

Please contact Meg Fleischmann with any questions.  
Cell = (208) 681 - 8467   
Email = fleiscme@sd.25.us
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Your Email : *
Athlete Name *
T Shirt Size for Athlete *
Grade Level for Athlete - What grade will they be going into in the Fall? *
Which session will they be in? *
Parent First and Last Name
 *
Parent Cell Phone Number
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Emergency Contact #1
First and Last Name
 *
Emergency Contact #1
Cell Phone Number 
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Emergency Contact #2
First and Last Name 
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Emergency Contact #2
Cell Phone Number
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Form of Payment: *
Consent Form:
By entering my name below, I hereby consent to the above name to participate in the Century Youth Volleyball Camp and fully understand that I will be responsible for any liability which may occur due to injury during the camp.  I also understand that the Century Youth Camp will not provide any medical insurance, so the cost of the camp can be held as low as possible. Please type your name below to agree 
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