Registration Form
Fill in the fields, print out and mail to CAT Volleyball Inc., 3213 West Tampa Ave., Tampa FL 33611
*Make check payable to CAT Volleyball Inc.

Name:   Age:    Grade as of 6/01: 
Email Address: 

Address:  City:    Zip:
Home Phone #:    Emergency Phone #: 

School:        Coach: 
Coaches Phone #:             Player Experience (choose one) :

Position (choose one):     Height:     Club:    
# of Years in club:                        T-shirt size (choose one): 

Please Indicate your clinic or camp date(s), as well as resident/commuter:  (Check as many boxes as needed)

#1 Setter/Hitter, Clinic June 30 - July 2              $180 Commuter          $220 Resident
#2 Skills Clinic, July 7 - July 11                           $220 Commuter          $265 Resident
#3 Skills Clinic Day Only July 8 - July 10          $180 Commuter                                         
#4 Team Camp 1, July 15 - July 18                      $180 Commuter          $265 Resident
#5 Team Camp 2, July 19 - 22                              $180 Commuter          $265 Resident

Total Due (add amounts of each camp selected)
Total Deposit ($100 per Camp)
Roommate Priorities:

Consent to enroll form

In Consideration of being allowed to participate in any way in the Camp, related events and activities, the undersigned acknowledge, appreciates and agrees that:
      1.        For myself and on behalf of my heirs, assign, personal representatives and next of kin, I hereby release and hold harmless CAT Volleyball Inc., The University of Tampa, any of the officers, servants, agents or employees and if applicable, owners and leasers of premises used to conduct this camp(releases) with respect to any and all personal injury and bodily injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releases or otherwise that may be sustained by my child/legal ward, while in, on or upon the premises where the camp activities are being conducted, and,
     2.        I, as parent/guardian with legal responsibility for this camp participation, do consent and agree to release as listed above all the releases for myself, my heirs, assigns, and next to kin, and agree to indemnify the releases from any and all liabilities incidental to my minor child’s involvement or participation in these programs.
     3.        I further agree to indemnify and hold harmless the releases from any loss, liability, damage or costs, including court costs and attorney’s fees, that they may incur due to my child’s participation in camp activities whether caused by negligence or releases, or otherwise.
     4.        I/we, the undersigned, hereby certify that I/we, am/are the parent or legal guardian of the   camper named below.  I/we hereby give permission for the staff of this camp to administer during the period of the camp, appropriate medical attention to my child in the event of accident, illness, or injury.  I/we will be responsible for any and all costs of medical coverage and treatment provided to the camper which are not paid by this camp’s excess policy after all other available personal insurance has paid or declined payment.

I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.  I have no knowledge of any physical condition that would prohibit my child from participating in the camp.

 Parent/Guardian’s Signature ____________________________________________    Date Signed __________

Insurance Carrier _____________________________________________________   Policy # _________________