14U & OLDER @ Tumwater HS

$20 per hour ~or~ $ $50 for Entire Clinic

Check Session You Will Be Attending:

9:00 – Passing/Serving _____

10:00 – Setting/Defense _____

11:00 – Hitting/Blocking ______

Total Amount Enclosed: $________

Registration by Mail

Player Name:________________________________________________________Age:__________________
Email: ___________________________________________________________________________________
Parent:____________________________________________________Parent Cell:__________________
School Attending in Fall:_______________________________________Coach Name:_____________
Medical Release: I waive all rights and release all claims that might be had against the South Sound Youth Volleyball Academy (SSYVBA), its hired or contracted instructors and their employees and agents, for any and all injuries or losses which may be suffered because of my child’s or children’s participation in the above activity offered by SSYVBA. I consent to my child’s participation in this camp and authorize its employees or agents to provide emergency medical treatment for my child on my behalf. To the best of my knowledge, my child has no physical impairment or other conditions which would interfere with her participation. This event is not associated with the Tumwater School District or Tumwater High School.
Parent Signature: ___________________________________________________________Date:_________

Contact Information & Online Registration

Contact: tana.otton@tumwater.k12.wa.us
Mail registration to: SSYVBA (please make checks payable to SSYVBA)
534 Eklund Ct SE
Tumwater, WA 98501
Pay online @ www.ssyvba.com (small fee applies)