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INDIANA VOLLEYBALL CAMPS

IU VOLLEYBALL POSITION CAMP

Grades 9-12

July 9-11, 2013, Bloomington, Indiana, at Indiana University

CAMP COSTS

$390.00* - Overnight
$320.00* - Commuter

CHECK-IN/CHECKOUT

- Check-In: 1 p.m. on July 9 at McNutt Dormitory (1101 North Fee Lane)
- Check-out: 4:15 p.m. on July 11 at McNutt


* add 6% for on-line registrations


All Camps Open to All and Any Entrants


FOR REGISTRATION INFORMATION/INQUIRIES:


- Phone: 1-812-856-0300
- E-Mail: For Further Information!
- Register On-Line: Now Available!
- Summer Camp Discounts

2013 Position Overnight Camp

Note: Registration for this camp closes at Noon on Friday, July 5. No additional on-line registrations can be accepted after that time.
 

Registration Note All campers who cancel, including those for medical reasons, will be refunded all pre-paid fees, minus a $50 administrative fee, provided they cancel before June 15, 2013. Cancellations after June 15, 2013, but before the start of camp will be refunded all pre-paid fees minus a $100 administrative fee. No refunds will be issued after the start of camp for any reason.

Please complete the form below and submit camp payment.

 
Payment Option*
 Credit Card
 Mailing in Check*
 
* If you are mailing in a check, completely fill out this form and click on the 'register' button at the bottom of the page. On the next page, you can exit your web browser. Then, you can mail in your check made payable to IU Volleyball Camp to: IU Volleyball Camp; 1001 E. 17th Street; Bloomington, IN 47408. As a reminder, if mailing in a check the camp fee is $390 for Resident Campers and $320 for Commuters. If you are either an IU employee or an IU Athletics employee, please refer to the IU Employee Discounts link on the left for discounted pricing.

In the memo line of your check, please indicate the name or names that payment is for, and which session(s) you have signed up for.
 

INTERNAL USE - Campers DO NOT fill out next two lines  
Check Received (Check #, Date, Amount)
 
Balance Due
 
Camper's Last Name*
 
Camper's First Name*
 
Birthdate (Month/Day/Year)*
 
Parent/Guardian Name(s)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Camper's Home Phone #*
 
Parent's Cell Phone #
 
Parent's E-Mail Address*
 
Roommate Preference (Note: Only one roommate allowed)
 
Grade Entering (as of Sept. 2013)*
 
Position*
 Setter
 Outside Hitter
 Middle Blocker
 Libero
 
Camper's School*
 
Camper's Middle School/High School Coach Name
 
T-Shirt Size (adult sizes)*
 S
 M
 L
 XL
 XXL
 
Camper Options*
 Overnight Camper
 Commuter Camper
 

MEDICAL CONSENT FORM
To enable the Health Center of Indiana University and/or other health facilities in Bloomington to provide prompt care to your daughter, we must have a completed Consent Form on file each year. This way, we can help your child without delay in an emergency.
 
Name of Minor*
 
Insurance Company*
 
Policy Number/Group #*
 
Insurance Company Phone
 
Name of policy holder
 
Medical Conditions
 
Present Medication (include dosage)
 
Drug Reactions
 
Date of Last Tetanus Toxoid
 
Any past or present illness or other information that would be useful in the event that treatment is needed
 
Emergency Name and Phone #s to call if parents can't be reached
 
Hay Fever
 Yes
 No
 
Asthma
 Yes
 No
 
Eczema
 Yes
 No
 
Insect Stings
 Yes
 No
 
Other
 

* I grant permission to the Directors, Assistants, or other persons responsible for her care to act on my behalf for said minor in granting permission for evaluation and treatment of medical problems. I understand that should a major medical problem arise, an attempt will be made to notify me by telephone. In the event that I cannot be reached, I hereby give consent to such medical treatment as deemed necessary (including surgery, x-ray examinations and anesthesia to be rendered to said minor by a licensed physician or nurse.)  

* Waiver: I do hereby waive, release and discharge the Indiana Volleyball Camp and the respective staffs, employees, successors, and assigns, of and from any and all rights and claims for damages resulting from injury of my person or property, which may be sustained or suffered by me in connection with my association with or participating in, or arising out of my traveling to or from Indiana Volleyball Camp. We, the parents/guardians, agree to the above waiver and release and we join therein.  

Parent/Guardian Name*
 

PAYMENT OPTIONS
Please select your payment option by indicating a '1' in the quantity field. We need a registration form and consents completed for each participant.

Note: A charge from Hoosiersportscamps.com will appear on your credit card for your on-line registration. However, if the IU Volleyball Camp is cancelled for any reason, refunds must be collected directly from the IU Volleyball Camp, Phone 812-856-3710.
 
Qty 
 $413.00 Option 1 - Overnight Camper Payment in Full

 $339.00 Option 2 - Commuter Camper Payment in Full

 $318.00 Option 3 - Overnight Camper with IU Discount (Note: Discount available to children of IU employees and valid IU e-mail address required)

 $281.00 Option 4 - Commuter Camper with IU Discount (Note: Discount available to children of IU employees and valid IU e-mail address required)

 $206.00 Option 5 - Overnight Camper with IU Athletics Discount (Note: Discount available to children of IU Athletics employees and valid IU e-mail address required)

 $170.00 Option 6 - Commuter Camper with IU Athletics Discount (Note: Discount available to children of IU Athletics employees and valid IU e-mail address required)