Kingwood Park Volleyball Camp 2021
Camp is for incoming 6th -9th grade and will be held at Kingwood Park High School
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Camp Flyer
Student Name *
Student Age *
Entering Grade *
Current School *
Shirt Size *
Mother/Guardian Name *
Mother/Guardian Phone *
Father/Guardian Name *
Father/Guardian Phone *
Parent/Guardian Preferred Email *
I, the undersigned, being the individual, parent, or legally authorized guardian of the student listed above, agree to hold the Humble Independent School District, its Board of Trustees, Administration, and/or Faculty, harmless from all liability for any injuries which my child may receive while participating in any recreational activities or utilizing the Humble ISD facilities.  I herewith authorize the Director, supervisor, staff member, and/or district employee to secure medical services for any family member if necessary, and I agree to pay, either directly  or through my own personal health and accident insurance policy, all medical or hospital costs. Typing your name in the box below, will serve as your signature stating that you agree with the above statement. *
I understand and agree with the above statement. *
Required
Father's Place of Employment *
Father's Place of Employment Phone *
Mother's Place of Employment *
Mother's Place of Employment Phone *
Emergency Contact #1 (other than parent or guardian) *
Emergency Contact #1 Phone *
Emergency Contact #2 (other than parent or guardian) *
Emergency Contact #2 Phone *
Insurance Policy Company Name *
Insurance Policy Phone *
Insurance Policy Number *
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