2023 Summer Camp Registration Form
2023 Summer Camp Registration Form
Event Information
For: All youth between grades 5-12 (going into grade 5 and grade 12)
When: July 10th-13th (Monday-Thursday)
9:00 am -12:00 pm Youth Session (20010-2013: Grades 5-8)
1:00 pm – 4:00 pm Elite Session (2006-2009: Grades 9-12)
(bring a snack, water bottle, sunscreen and hat)
Where: Mark R. Isfeld (1551 Lerwick Rd., Courtenay, BC)
Cost: $175 – payable to Comox Valley Volleyball Camp (includes T-Shirt)
(mail cheques to Brian Stevens see below – cash/e-transfer accepted )
Deadline: Friday, July 7th, 2023 (if space permits)
Address__________________________________________City______________________
I am the legal guardian of _________________________. I have read the enclosed information and give
permission for my child to participate in and accept/assume all risks with participation but not limited to:
Falls, trips, slips and collisions with other players or objects. This can result in strains, sprains, broken bones,
scrapes or concussions, etc. I release and waive any claim against Comox Valley Volleyball Camp 2023 and its
coaches for any damages/injuries my child may incur as a result of participation.
By circling "Yes" I assume all risks associated with participating in the Comox Valley Volleyball Camp. YES
Signature - Parent/Guardian__________________________
ELITE SESSION YOUTH SESSION