Summer Youth Camp

2019

2019 REGISTRATION
* CLOSED *

STEP 1: PLAYER INFORMATION

* Indicates required field

Name *

First

Last

Gender *

Email *

Phone Number *

Grade in 2019-20 *

School in 2019-20 *

T-shirt Size *

Health Concerns *

Primary Emergency Contact *

First

Last

Relationship *

Phone Number *

Secondary Emergency Contact *

First

Last

Relationship *

Phone Number *

The Bellevue School District will not be responsible for damaged, lost or stolen personal articles. The Bellevue School District will not assume responsibility for accidents (medical or dental) or any other expenses incurred as a result of attendance at these sessions. Parents are encouraged to insure that their children have proper insurance protection. As parent or legal guardian, I authorize a Bellevue School District employee to administer basic first-aid or arrange for consultation as deemed necessary to insure proper emergency care. Every effort will be made to contact parent or legal guardian in the event of an injury.

Acknowledgement *

I Agree

Signature *

How did you hear about our camp? *

Submit

STEP 2: PAYMENT

PayPal, debit and credit cards are accepted through the Interlake Booster Club:

1. Go to: interlakesaints.org/volleyball
2. Click the Donate button on the bottom of the page
3. Enter $65.00, select payment method and complete payment information
4. Please include "Volleyball" under "Add a note/Add special instructions"

Interlake Spirit Booster Club is registered as a nonprofit corporation organized under IRS Section 501 (c) (3).

Advanced registration is preferred (by 6/12 to guarantee a t-shirt), but walk-ups are welcome
with a check payable to Interlake Spirit Boosters with "Volleyball" in the memo line.

We look forward to seeing you at camp!