Registration Form
2008 Highlander Volleyball Camps

Please print, then complete this registration form, the Camp Health Form and the Waiver of Liability Agreement and mail to the address below with payment in-full or a minimum $25 deposit. We must receive the completed Health Form and Waiver of Liability Agreement with an original signature prior to participation. If you are having trouble downloading these forms, please get the latest version of Acrobat Reader and install it.

_____ Paying in full      _____ $25 Deposit      _____ $10 Late Fee for on-site registration

_____ Session I   $180     _____ Session II   $180

 

Camper's Name:___________________________________________________________________

Parent's Name:____________________________________________________________________

Address:_________________________________________________________________________

City:______________________ ZIP:____________ e-mail:_________________________________

Home Phone:_____-_____-______    Work Phone:_____-_____-______    Cell:_____-_____-______

School:_______________________________    Club:_________________________Position_______

Age:_______   Height:________   Grade Fall 2007:______________   T-Shirt size_________________

Emergency contact:__________________________________   Phone number:______-______-______

Please make checks payable to: Mail to:
 Regents-UC Monica Trainer or Nir Ofer, Camp Directors
UC Riverside, Dept. of Athletics
Riverside, CA 92521