2005 Concordia Volleyball Camp Online Registration Form
Please Print and Send to:
Cobber Volleyball Camps, Concordia College, 901 South Eighth St., Moorhead, MN 56562
PLEASE PRINT CLEARLY
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.
Please check the camp(s) you are entering.
______Setter-Hitter Camp (Gr. 6-12) July 18-20
______Setter-Hitter Camp (Gr. 9-12) July
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: firstname.lastname@example.org
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