KCC Volleyball Camp

Registration Deadline is July 17, 2013
NAME
_____________________________________________________________________________________
DOB ______________ GRADE ______________ SCHOOL _______________________________
ADDRESS
_____________________________________________________________________________________
CITY/STATE/ZIP ___________________________________________ PHONE ____________
EMAIL
____________________________________________________________________________________
EMERGENCY CONTACT 1
____________________________________________________________________________
PHONE 1 _____________________________________ PHONE
2_______________________________
EMERGENCY CONTACT 2
____________________________________________________________________________
PHONE 1 _____________________________________ PHONE
2________________________________
Please check which session(s) you will be attending:
_____ Camp 1— All Skill Levels ($125) _____ Camp 2— Advanced Skill Levels ($125)
Checks must be made payable to Kellogg Community College
Fax registration and waivers to Kellogg Community College Athletic Building
269-269-962-2215 or mail with payment to:
Kellogg Community College Athletic Dept. Attn: Coach Julien
450 North Ave, Battle Creek, MI. 49017

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