Dunes Volleyball Club
Email address _____________________
School ________________ Grade___________
Height: ________________ Position: ___________
Date of Birth: _______________________
I hereby give ________________________ (Student’s Name) permission to participate in the Dunes Volleyball Events & Camps. I will not hold the sponsor of the camp, the Dunes Events Center, Dunes Volleyball Club, or their individuals liable for any injuries that may occur. I take responsibility for any injuries and medical emergencies that may occur to the student listed above at this camp I have adequate hospitalization insurance to cover any injuries that may occur.
Parent/Guardian Signature _________________________________
Date : _____________________: