2010 Tampa Volleyball Camp - Registration Form
IMPORTANT INFO:
Please complete this form and submit it. Once you submit this form you will be directed to the payment options page. Choose your payment option and follow the instructions on the page. You/your daughter's spot in camp will not be secured until we receive all of your paperwork and your deposit or full payment.
!!IMPORTANT!!
Space is limited!!! Please register quickly and make sure you send in your deposit as soon as possible to secure your spot. If you register after May 1st we ask that you pay in full.
DEPOSITS and REFUND POLICY:
For Individual Camps (Skills, Specialty, and Skills/Specialty):
Deposits are $150 for each camp. A spot will not be held in the camp without a deposit online registration form.
Prior to May 1st: Full Refund Less $50 (Administrative Fee)
May 2nd - May 31st: Refund Less $150 Deposit
On or After June 1st: No Refunds
For Team Camps:
Prior to June 1st: Full Refund Less $50 (Administrative Fee)**
June 2nd - June 30th: Refund Less $150 Deposit
On or After July 1st: No Refunds
**IMPORTANT**
You are not registered until we have received your deposit and online registration form.
You should receive email confirmation once we have received ALL of your paperwork and Payment.
Each Camper will receive a Camp T-Shirt.
Age:
Grade Entering Fall 2010:
Email Address:
Please Verify Email:
Address:
City:
State:
Zip:
Home Phone:
Emergency Phone:
Parent Cell Phone:
School Information:
School Name:
Coach:
Coach Email:
Coach Phone:
Playing Information:
Playing experience (choose one) :
Position (choose one) :
Height :
Additional Experience:
Club Name :
Team Name
# of years in club :
T-Shirt Size:
Please List up to 4 names of campers you would like to room with.
Pease indicate the Camp(s) and Plan (commuter/resident) you would like to attend:
(You can choose multiple camps by holding the Ctrl key and clicking on each camp desired)
Skills Camp Resident July 5 - 8 $350 Skills Camp Commuter July 5 - 8 $310 Skills/Specialty Camp Commuter July 9 - 12 $310 Skills/Specialty Camp Resident July 9 - 12 $350 Team Camp 1 Commuter July 15 - 18 $290 Team Camp 1 Resident July 15 - 18 $325 Specialty Camp Commuter July 19 - 21 $280 Specialty Camp Resident July 19 - 21 $310 Team Camp 2 Commuter July 22 - 25 $290 Team Camp 2 Resident July 22 - 25 $325
July 5 - July 8
$325.00 Resident
Will you need housing between the Specialty Camp and Team Camp: -------- Yes No
Payment Option: ---------------------------- Mailing in a Check Pay online with Credit Card - **$12.00 processing fee on credit card payments
Credit Card payments are FULL PAYMENT ONLY - no deposits.
How did you hear about us? ---------------------------------------------- Return Customer Received Postcard or Brochure website Newspaper Ad referred by friend/coach Other
------- Yes I have read the refund policy and I understand that Camp fees (less a $50 administrative fee) are refundable
prior to May 1st. AFTER MAY 1ST ALL FEES ARE FORFEITED.
-------- I Agree By choosing "I agree" in this box I understand that I am not registered until the Camp Office has received my deposit.
Please read the Release, Consent, and Emergency Authorization Form below
Cat Volleyball - Tampa Volleyball Camp Release, Consent and Emergency Authorization form In consideration of being allowed to participate in any way in the Tampa Volleyball Camp, related events and activities, the undersigned acknowledges, understands and agrees as follows: 1.I/We the parent/guardian listed above represent the camper listed above to CAT Volleyball and the Tampa Volleyball Camp that the facts set forth in this agreement concerning the Camp Participant are true. 2. I/we am/are aware and familiar with the many ordinary and hazardous risks involved in sports including, but not limited to, travel to and from the site of activity, physical contact and the possible reckless conduct of other participants. I/we understand that the dangers and risks of participating in sports and related events and activities include but are not limited to, death, serious neck or spinal injury which may result in paralysis, brain damage, serious injury to all internal organs, injury to all bones, ligament, muscles, tendons, and other aspects of the body. I/we understand that the dangers and risks of participating in Tampa Volleyball Camp may result not only in serious injury, but in serious impairment of future ability to earn a living, engage in business, and generally enjoy life. I/we understand on behalf of myself /ourselves and the Camp Participant, the I/we am/are assuming those risks. 3. I/we currently know of no physical or mental condition that would impair the Camp Participant's capability for full participation in Tampa Volleyball Camp as intended or expected [except for info listed.] 4. I/we hereby give permission for the staff of the Tampa Volleyball Camp to administer appropriate medical attention including, but not limited to, first aid, treatment and other services, to the Camp Participant in the event of accident, illness or injury occurring during the Tampa Volleyball Camp. I/we understand that I/we will be responsible for any and all costs of medical attention and treatment provided to the Camp Participant. I/we acknowledge that the Camp Participant must have health and accident coverage in effect for the duration on the Tampa volleyball Camp. The name of the insurance company and policy number are provided below. 5. On behalf of myself/ourselves and the Camp Participant, Releasor(s) hereby release, waive, discharge and agree not to sue Cat Volleyball, The University of Tampa, and/or its officers, directors, servants, agents, employees, instructors, trip and event leaders, assistants and other representatives and, if applicable, the owners or leasees of of premises in which sports and related events and activities are conducted ("Releasees") FOR ANY LIABILITY, ACTION, CLAIM, LOSS, COST OR EXPENSE OF ANY KIND ARISING DIRECTLY OR INDIRECTLY FROM ANY AND ALL PERSONAL INJURY AND BODILY INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR TO REAL OR PERSONAL PROPERTY THAT MAY BE SUSTAINED BY THE CAMP PARTICIPANT WHILE INVOLVED IN SPORTS CAMP WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. 6. I/we further AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss, liability, damage or cost, including court costs and attorney's fees, that they might incur due to the Camp Participant's involvement or participation in the Tampa Volleyball Camp and related events and activities WHETHER CAUSED BY NEGLIGENCE OF THE RELEASEES OR OTHERWISE. 7. I/we have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I/we have given up substantial rights by signing it, and sign it freely and voluntary without any inducement. 8. I/we agree that this agreement is contractual in nature and will be governed by the laws of the state of Florida. In the event that any portion of this agreement is held invalid, I/we agree that the balance shall, notwithstanding, continue in full legal force and effect. 9. I/we agree that this Agreement shall be legally binding upon myself/ourselves, my/our heirs, estates, assigns, personal representatives, executors, administrators and next of kin.
Please specify any current Physical or Mental limitations from Item #3:
Insurance Carrier:
Name of Family Physician:
---------------- YES I have read understand the Release, Consent, and Emergency Authorization Form.
By electronically signing my name below I acknowledge that I have read and understand the above liability release from and agree to its terms:
Parent / Guardian Signature:
Date: