Volleyball Camp Registration Form

2016 BHS
Aviator Volleyball
Summer Camp for Boys & Girls
LITTLE AVIATOR CAMP
Monday thru Wednesday, June 27 -29 – Time: 6pm – 9pm
Cost $50 (each additional sibling $30)
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THIS SESSION IS DESIGNED FOR boys and girls entering 3 , 4 or 5 grade in the fall of 2016.
Players may be complete beginners or have limited experience in the sport of volleyball. We will focus on
instruction and practice of basic volleyball skills such as serving, passing, hitting and setting. Each day will
also include some small group or team play. This camp will be held in the Butler High School Central Gym.
JUNIOR AVIATOR CAMP
Monday thru Wednesday, June 27-29 – Time: 6pm – 9pm
Cost $50 (each additional sibling $30)
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THIS SESSION IS DESIGNED FOR boys and girls entering 6 , 7 and 8th grade in the fall of 2016. This
session will feature instruction & practice of individual volleyball skills such as serving, passing, setting,
hitting, and blocking and floor defense. Players will be divided into skill groups following a skill assessment
on the first day of camp. Players will participate in competitive team play each day. This camp will be held
in the Butler High School Student Activity Center (SAC)
CAMP LOGISTICS
LOCATION:
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600 S Dixie Dr., Vandalia, Ohio 45377
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Student Activity Center (SAC) & Central Gym
STAFF:
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Butler High School Volleyball Coaching Staff,
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Butler. High School Alumni (Collegiate level players)
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Butler High School Current Players
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IMPORTANT CAMP INFORMATION
Fill in the registration form then mail the form with the payment.
MAKE CHECKS PAYABLE TO: Butler Boosters
Cost Covers 3 day instruction and camp T-shirt.
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DAILY CAMP THEMES
DAY #1 – wear purple or gold
DAY #2 – wacky wardrobe day
DAY #3 – wear your camp t-shirt day
2016 BHS
Aviator Volleyball
Summer Camp for Boys & Girls
Registration Form
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•
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Fill in the registration form then mail the form with the payment.
MAIL TO: (by June 13, 2016)
• Cheryl Franklin
• 11256 Cassel Road
• Vandalia, Ohio
MAKE CHECKS PAYABLE TO: Butler Boosters
Name___________________________________________________
Gender_________
Grade Entering____________________
Address_________________________________________________________________
City_____________________________________________________________________ State__________
Zip______________ Parent/Guardian_________________________________________________________
Phone (H)__________________________
Phone (C)__________________________
Emergency Contact______________________________________________
Parent/Guardian E-mail__________________________________________________
School_____________________________________________________________
T-SHIRT SIZE (Adult Sizes)
S
M
L
XL (CIRCLE ONE)
The undersigned, being the parents / guardians of:________________________________________ a minor,
herewith knowingly and intentionally consent and authorize said child to participate and engage in the Butler
volleyball camp. We fully understand that Vandalia-Butler City Schools carries no insurance covering injuries
sustained by players participating in the camp. We also fully understand the risks and further agree on our own
behalf and our child’s to release, indemnify, and hold harmless the volleyball camp coaches from any and all
liability, claims, actions, demands, and judgments arising out of any and all injuries to our child sustained while
participation in the Butler Volleyball camp. Also, in consideration of the use of its facilities, we agree to release,
indemnify, and hold harmless Vandalia-Butler Schools, its Board of Directors, employees, volunteers, and assignees
of any and all liability for any injuries that may occur.
Parent / Guardian__________________________________ Date______________________