VOLLEY JOLLY CHRISTMAS CAMP REGISTRATION
Friday, December 10, 2021--- Camp night for 5th & 6th grade girls (use it as a parents night out to shop maybe?!)
@Siloam Springs High School, 5pm-10pm.  A confirmation email will be sent following completion of this form that includes the details! $40 covers the cost of camp fee, dinner, snack and craft!
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Email *
First Name of Camper *
Last Name of Camper *
Current Grade of Camper *
School this camper attends? *
Does this camper have any Food Allergies? *
Parent Name & Best Phone Number to reach you that night: *
Emergency Contact & Phone Number *
Anything else we need to know? *
Please read and then type your full name if you agree to this statement :                                                                            I hereby certify that I am the parent/legal guardian of the above named participant in the Panther Volleyball Academy Christmas Camp and acknowledge she is physically able to participate in all camp activities.  I hereby release Panther Volleyball Academy Christmas Camp from all claims from injuries or illness which may be sustained from our participant.  I authorize the camp director to give or authorize medical treatment to our participant when and if the need should arise. *
Payment is $40.  If you would like to pay online, Choose "Pay online" and click the link or copy and paste the link into your browser.  If you would like to pay at the door, choose pay at the door on Friday, Dec 10 (cash or check only) *
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