2008 Summer Camps and Clinics - Application Form

For the Summer Camp Flyer, click HERE.

For the Schedule and Pricing, click HERE.

For Site Directions, click HERE.

 

For a printer friendly version, click HERE.  Adobe® Reader® Required.    

 

Beach Cities Volleyball Camp Application

 

Players Name|   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   Grade |   |   |

                                                Last                                                         First

Date of Birth (Month/Day/Year) |   |   |   |   |   |   |   |   |   |   | Camp #s|   |   |   |   |   |   |   |   |   |   |   |   |   |   |

 

Address|   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |  |   |   |   |   |   |

                                                Number & Street                                                      City & State                                    Zip

Phone #s Home |   |   |   | - |   |   |   | - |   |   |   |   | Cell |   |   |   | - |   |   |   | - |   |   |   |   |

 

Office |   |   |   | - |   |   |   | - |   |   |   |   | Ext |   |   | Other|   |   |   | - |   |   |   | - |   |   |   |   |

 

E-Mail Player|   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |

 

E-Mail Parent|   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |

 

Tee Shirt Size: Youth Small__ Medium__ Large __ Adult: Small __ Medium __ Large __ XL __ XXL __

 

Cost for 1B, 1i, 2B, 2i, 3, 4B, 4i, 5B, 5i, 6B, 6i, 7B, 8B, 8i, 9B, 9i: $180 

Cost for AMS 1, AMS 2, AA1, AA2, AA3, AA4, AA5, AA6, AA7, AA8, AA9, AA10, 10B, 10i, 11B: $199

Cost for All Day Camps: Westchester Park, AdventurePlex, American Martyrs: $370 for AM & afternoon

American Martyrs afternoon & evening, Rolling Hills Prep morning & afternoon: $399

Rolling Hills Prep Afternoon & Evening Clinics: $410

 

Please make check or money order payable to Beach Cities Volleyball Club, complete application and mail to:  Beach Cities Volleyball Club 1209 Manhattan Ave. #204  Manhattan Beach, CA 90266

                                               

Have questions? Visit www.beachcitiesvbc.com or call 310.546-9150

 

Refund Policy                        Please read carefully

 

There are a limited number of positions in each session.  We hold your position with our receipt of your completed application and payment in full of the camp fee.  Personal problems, illness or circumstances which change your plans, do not change this policy.

Our refund policy is:

Partial Refund: If you notify us in writing of cancellation three weeks or more before your session we will refund your program fee less a $50.00 Cancellation Fee.

No Refund: Cancellation fewer than 21 days prior to the first day of your session, disciplinary action, personal problems, illness or change of plans will result in no refunds.

 

Release and hold harmless agreement / Authorization for treatment of a minor.

In consideration of the participation in the 2008 Beach Cities Volleyball Camp, and with complete understanding said participant will take a physical test of volleyball skills, I (we) understand and agree to the following:

 

                                                , Camp Participant is hereby given my consent to participate in organized practices, camp activities and competition in the 2008 Beach Cities Volleyball Camp and Clinics. 

 

                                                                                                                                                                                               

Parent / Guardian Signature                                                                                                               Date

 

The undersigned does hereby waive, release, acquit and forever discharge Beach Cities Volleyball Club (a.k.a. All American Volleyball Clinics) and Outperform Sports (d/b/a Velocity Sports Performance), its officers and directors, collectively and individually, coaches, and adult supervision, and any and all persons directly or indirectly associated with the Beach Cities Volleyball Camps or Clinics, All American Volleyball Clinic, Beach Cities Volleyball Club, Outperform Sports and Velocity Sports Performance and each of them from any and all acts, causes of action, claims, demands, damages, costs or expenses on account of or which may in any way develop out of any and all known and unknown personal injuries or property damage which the player/participant may suffer during the course of or as a result of the participation in the 2008 Beach Cities Volleyball Camp or Clinics, or All American Volleyball Clinics including, but not limited to, camp and clinic activities, travel to and from meals with the coaches, meals with the coaches, practices after the camp, and travel to and from the camp.

 

I hereby acknowledge that I am the parent and/or guardian of the above-mentioned minor.  I give authorization to any properly licensed physician or surgeon to provide emergency medical care and/or treatment when necessary.  Any expenditure for care and treatment is my responsibility.

 

                                                                                                                                                                                                                               

Signature of Parent or Guardian                        Date                   Print name of Parent or Guardian                Print name of Participant    

 

Beach Cities Volleyball Club is a non-profit 501(C) (3) corporation in good standing with the IRS and the California State Franchise Board. 

 

 

For a printer friendly version, click HERE.  Adobe® Reader® Required.