Summer Volleyball Camp Registration • Durham Rebels Volleyball Club

Complete and submit the registration form below. Payment instructions will be forwarded with your registration confirmation e-mail.

Player's First Name *

Player's Last Name *

Player's Date of Birth *

Please be sure to select the correct YEAR.

Street Address *

City *

Postal Code *

Player's Grade (September 2017). *

Players must be entering a minimum of Grade 4 in September 2017.

Player's School (September 2017) *

Did this player play Club (competitive) volleyball in 2016/2017: *

Yes (club name & age division)Yes (club name & age division)

Does this player have any life threatening allergies or a medical condition(s) that we should be aware of during camp (anaphylactic allergy, diabetes, injury, etc.)? *

Yes. Please explain.Yes. Please explain.

Camp Dates. Please indicate which week(s) this player will attend volleyball camp. *

Week 1 (July 17 - 21) $230 -Week 1 is currently waitlisted. Registrants will be placed on a waitlist and contacted based on the timestamp of their online submission.

Week 2 (July 24 - 28), $230

Week 1 and Week 2, $460

Please select player's shirt size. For your assistance, we have provided the manufacturer's sizing. Shirts are Gildan short-sleeved t-shirts. IMPORTANT: Please check player's sizing as we cannot exchange a shirt once it has been ordered. IMPORTANT: Players registering after June 27 may not get their preferred shirt size as our supplier required orders by this date due to extended holiday closure. We will do our best to provide a suitable size to these athletes. *

Youth Large (Width 19", Length 25")

Youth Extra Large (Width 20", Length 26.5")

Adult Small (Width 18", Length 28")

Adult Medium (Width 20", Length 29")

Adult Large (Width 22", Length 30")

Adult Extra Large (Width 24", Length 31")

Form of Payment. Please check your confirmation e-mail for payment submission details. *

Cash or cheque

E-transfer

Payment is due within 30 days of receipt of registration.

Parent Contact Information

Parent First AND Last Name *

Relationship to Player *

Mother

Father

OtherOther

Parent Phone *

Parent Phone Type *

Parent E-Mail *

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Parent Authorization & Waiver

By inserting my first and last name below (parent for athletes under the age of 18 years) and submitting this registration I understand and agree that DRVC and/or its coaches, members, or affiliates, are not responsible for any injury, damage or loss resulting from any accident from known or unknown conditions however caused. I, the undersigned, the parent/guardian of the above named child, do hereby consent to the child’s participation in the above mentioned camp. I also consent to DRVC Volleyball Club using photographs of my child taken at camp for promotional & advertising purposes. Cancellations must be requested in writing prior to July 1, 2017. Cost of Camp less $50.00 non-refundable administration fee will be refunded. After July 1, 2017, refunds will be given for medical reasons only. *

Parent: Please enter your first AND last name.

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Summer Volleyball Camp Registration (2017)

Parent Contact Information

Parent Authorization & Waiver

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