Camper Information


First Name:
Last Name:
Current Grade:
School:
Highest Level of Play:
Years Played:

Parent Information


First Name:
Last Name:
Phone:
Emergency Phone:
Email:
Address 1:
Address 2:
City:
State:
Zip:

,
has my consent to attend the volleyball camp at Beavercreek High School. I understand that there is a risk of injury and agree not the hold the staff/coaches responsible for injuries that may result.

hereby appoint the staff of Beavercreek High School to authorize medical treatment for my child for any injury or illness that may develop durning the camp. I accept full financial responsibility for any medical treatment that may occur.

Your registration is not complete until you have paid. After you submit the registration form you will be forwarded to another website where you will submit your payment.