2008 Mission Volleyball Club Registration
Please complete the form below. Players will receive an invoice from Mission Volleyball requesting payment within one week of completing registration.
 
1. Select Your Program

 
   
Program 3 Day Camp, T-shirt included. Limit 24 players per session.
 

FAMILY DISCOUNT: First child pays full price and each additional child receives 10% discount.

   
Developmental Team

Ages 9-11 | 8am - 10am
$135 Before June 23
$150 After June 23

The children focus on developing the basic skills of volleyball. We use a variety of games so that the children are learning and having fun in the sand.

Youth Team

Ages: 12-14 | 10:15am - 12:15pm
$135 Before June 23
$150 After June 23

We focus on teaching the athletes fundamentals of beach volleyball. The campers will improve their overall volleyball awareness while playing fun, competitive games.

Open Team

Ages: 15-18 | 1pm-3pm
$135 Before June 23
$150 After June 23

Our older athletes will learn the difference between beach and indoor volleyball rules and strategies. We will teach the athletes correct beach techniques which will further improve their skills on an indoor surface. The campers will play competitive two against two just like the pros.
   
Camp Location
July 6- July 8 Boulder, CO
July 14 - July 16 Chicago, IL
July 20 - July 22 Cary, NC
July 28 - July 30 San Diego, CA (Coronado Central Beach)
August 4 - August 6 The Okanagan, British Columbia (City Park)
August 8 - August 10 Milwaukee, WI
   
2. Student-Athlete Information
First Name
Last Name
Street Address
City
State
ZIP
Home Phone
Mobile Phone
Email address
   
3. Birthdate  
Date of Birth (MM/DD/YYYY) / /
   
4. Experience  
Club/Organziation
Experience
How did you hear about us?
   
5. School Information  
School Name
Current Grade
   
6. Parent / Guardian Information
First Name
Last Name
Street Address
City
State
ZIP
Home Phone
Mobile Phone
Email address
Relationship to Athlete
Can you help with the following? Driving Snacks Call List
   
7. Additional Parent / Guardian Information
First Name
Last Name
Street Address
City
State
ZIP
Home Phone
Mobile Phone
Email address
Relationship to Athlete
Can you help with the following? Driving Snacks Call List
   
8. Healthcare Providers and Contact Information
Family Physician
Physician's Phone
Family Dentist
Dentist's Phone
   
9. Health Insurance Information
Insurance Carrier
Group #
Policy #
Name of Primary Insured
   
10. Emergency Contacts
First Contact (Name/Phone)
Second Contact (Name/Phone)
Third Contact (Name/Phone)
   
11. Agreement and Liability Waiver
By checking the box below, I/we agree to indemnify and hold harmless Erin Byrd and Mission Volleyball Club, its partners, officers, employees, and any organization co-sponsoring the program, from and against any and all liability for an injury which my son/daughter may suffer, arising out of or in any way connected with their participation in this program. In case of emergency, arising during or in connection with any activity of Erin Byrd and Mission Volleyball Club. I/we authorize any person in charge of the activity to consent to medical and/or dental treatment for my son/daughter at my expense. I understand that Erin Byrd and Mission Volleyball Club are not obligated to carry insurance to cover these medical and/or dental expenses. Any disputes arising between Erin Byrd and Mission Volleyball Club and participants will be settled by independent arbitration.
  I / We Agree
Parent Guardian's Name
Date of Agreement (MM/DD/YYYY) / /