waiver form


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2 DIFFERENT WEEKS AT 2 DIFFERENT LOCATIONS Camp 1: June 12—16 at Cross Lutheran Church’s Gym Located at the corner of Route 47 & Ament Road south of Yorkville

Camp 2: June 26—30 at Village Bible Church’s Gym Located at corner of Route 47 & Bliss Road in Sugar Grove This summer Coach Monica Williams will conduct volleyball camps for students entering grades 1—9 in the fall. Coach Williams played volleyball for Lisbon Grade School, Newark High School, and Wheaton College, and has since been inducted into the Sports Hall of Fame at both Newark High School & Wheaton College. She has coached for 10 years at the high school varsity level, and 9 years at the middle school level. She is currently the volleyball coach for the 5th through 8th grade teams at Lisbon Grade School. Several area high school athletes, college athletes, and volleyball coaches will serve as her assistant coaches for the Williams Summer Volleyball Camps. The purpose of the camp is to equip athletes with the skills needed to be successful volleyball players. Camp offers individual instruction in basic and intermediate volleyball techniques. This camp is designed for participants interested in developing and refining the skills of passing, setting, spiking, blocking, digging, and serving. Tactics and teamwork skills essential to an improved level of play will also be emphasized. Beyond just developing skills relating to volleyball, Coach Williams’ desire is to see young athletes develop strong character qualities through competing in athletics. Coaches in Monica’s life have taught her great life lessons through sports, and she would like to pass these lessons along to others as well!

Session 1: Session 2: Session 3:

Students entering grades 1-3 in fall of 2017 8:15—9:30 a.m. (Note: Only offered at Camp 1 in Yorkville) Students entering grades 4-6 in the fall of 2017 9:30—11:00 a.m. Students entering grades 7-9 in the fall of 2017 11:00—12:45 p.m.

$45 per athlete/per camp Registration deadline is Monday, May 29, 2017 to receive a camp T-shirt. Note: Walk-ins are welcome only if space remains available. Sessions typically fill in advance. Camp registration is open to both girls and boys. Sessions are filled on a first-come, first-serve basis. Checks should be made payable to Monica Williams and sent with the signed registration/waiver form to: Coach Monica Williams 12217 Bushnell School Road Newark, IL 60541

Questions? Contact Coach Williams at (630) 742-4835 or [email protected]

PLEASE CHECK YOUR CAMP LOCATION/DATES & SESSION: NOTE: One form required per camper being registered. ________

________

Camp 1 at Cross Lutheran Church in Yorkville from June 12-16, 2017 _____Session 1: Entering grades 1—3 in the fall of 2017

8:15 a.m. —9:30 a.m.

_____Session 2: Entering grades 4—6 in the fall of 2017

9:30 a.m. —11:00 a.m.

_____Session 3: Entering grades 7—9 in the fall of 2017

11:00 a.m.—12:45 p.m.

Camp 2 at Village Bible Church in Sugar Grove from June 26-30, 2017 _____Session 2: Entering grades 4—6 in the fall of 2017

9:30—11:00 a.m.

_____Session 3: Entering grades 7—9 in the fall of 2017

11:00 a.m.—12:45 p.m.

CIRCLE T-SHIRT SIZE:

Youth:

S

M

L

Adult: S

M

L

XL

XXL

Athlete’s Name: ____________________________

Grade entering: _____________________

Address: __________________________________

Phone: ____________________________

Email address: _________________________

School attending in fall 2017: _______________

In case of emergency, notify: __________________

Emergency Phone: __________________

I give my student athlete permission to attend the Williams Summer Volleyball Camps the week of June 12-16, 2017 and/or June 26-30, 2017. I do hereby waive, release and discharge Cross Lutheran Church and Village Bible Church, their staff and employees, and Coach Monica Williams and her assistant coaches from any and all rights and claims for damages resulting from injuries to my students or property which may be sustained by said child in connection with his/her association with, or participation in, or arising out of the traveling to or from volleyball camp. We, the parents or guardians, agree to the above waiver and release.

________________________________________________________________ Parent/Legal Guardian Signature

___________________________________ Date