TESL 12U
Volleyball Skills Camp
Affton CC 9801 Mackenzie Rd. 63123
Wed. Aug. 11th 7:30 - 9:00
Wed. Aug. 18th 7:30 - 9:00
Younger players considered on an individual basis
Accepting first 28 players
$15 per participant
(scroll down for registration
form)
12U Volleyball Skills Camp
Name
_________________________________________________________________
Parents Names__________________________________________________________
Address________________________________________________________________
Email Address___________________________________________________________
Phone
_________________________________________________________________
Grade in School Fall 2010 __________ School_________________________________
Volleyball
Club Team______________________________________________________________
Birthdate__________________ Primary Position____________Height_______________
Waiver: I hereby authorize my child’s participation in this sports camp. I know
of no physical or mental problems which may affect my child’s ability to safely
participate in this camp. I acknowledge that the camp has my permission to deny
admission to the camp or dismiss my child from the camp for any reason. I hereby
authorize the staff of Team Elite STL volleyball club (TESL) to act on my behalf
in the case of illness or injury to my child. I agree that camp directors and
Affton Community Center will not be held liable for any injuries, illnesses or
expenses incurred as a result of my child’s participation in this camp.
_____________________________________________________________________
Parent/Guardian
Signature
Date
Specify camps being registered for - $15 each preregistration:
8/11/10 @ Affton CC 7:30 - 9:00 pm ________ $15
in advance $20 at door
8/18/10 @ Affton CC 7:30 - 9:00 pm ________ $15 in advance $20 at door
Please print form and return with registration fee payable to TESL:
Dale Woodson
5204 Nottingham Estates Dr. St. Louis, MO. 63129
314-974-7995