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2005 Concordia Volleyball Camp Online Registration Form

Please Print and Send to:
Cobber Volleyball Camps, Concordia College, 901 South Eighth St., Moorhead, MN 56562


Last Name                         First                                           email

Address                                                  City                       St                          Zip

Phone                   t-shirt size                 Position       Grade in 2005-06         Age              Height

School                                           Coach                                           Roommate

I hereby request that you accept the enrollment of ___________________________________in the 2005 Volleyball Camp.  I hereby release the Cobber Volleyball Camp Staff, Concordia College and all their employees and agents from all claims on account of any injuries which may be sustained by my daughter while attending the camp, and any claims hereafter which may be presented by my daughter while attending this camp, and any claims which hereafter may be presented by my minor daughter as a result of any such injuries.   I also certify that she is medically fit to participate in this camp.

___________________________   ___________________________________
Parent's name (print)                      Parent's signature

Work phone                                        Home phone
Each camper is responsible for her own insurance.

Camp Session(s).
Please check the camp(s) you are entering.

______Setter-Hitter Camp (Gr. 6-12) July 18-20

______Setter-Hitter Camp (Gr. 9-12) July 25-28

Camp Accommodations
Please check one.

_____Resident Camper (all services) ______Board (meals but no room)   _____Instruction only

 A non-refundable fee of $75.00 is required to hold your spot in this camp.  The balance is due at registration. Please make checks payable to Cobber Volleyball Camp.
Send to: Cobber Volleyball Camps, Concordia College, 901 South Eighth St., Moorhead, MN 56562

Camp Director - Tim Mosser
Call 218-299-3520 or email: mosser@cord.edu

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