Lawrence Tech Summer Camps Registration Form
Lawrence Tech Volleyball Summer Camp 2012 - 2013
Camper’s Name: _________________________ Parent/Guardian: _______________________ Address: ________________________________ City: _____________________ Zip: __________ E-Mail: __________________________________ Phone: (H)______________ (C)_____________ Camper’s Age:_________ Date:___________ Please check the box for the camp you would like to attend:
Camp #1 / June 25 - 28 / $60 Camp #2 / July 19 - 22 / $95
Camp #4 / July 30 - Aug 2 / $95 Make checks payable to: Lawrence Tech Women’s Volleyball
T- Shirt Size ys
Agreement of Liability
I, the undersigned parent/guardian, hereby releases and holds harmless Lawrence Technological University, its employees, the LTU Summer Camp Program, and its employees from any and all liability occurring during the participation of the undersigned minor child. In particular, the undersigned parent/guardian acknowledges that he/she and such minor child will not hold LTU or the LTU Summer Camp Program liable for any expenses, property damages, personal injuries and/or death sustained by such minor child while participating. The terms and conditions of this Agreement shall be legally binding upon the undersigned parent/guardian and such minor child and his/her respective estate, representative, and assigns. Parent / Guardian Signature: ________________________________________
Lawrence Tech Athletics 21000 West ten Mile Rd. Southfield, MI 48075
Camp #3 / July 26 - 29 / $95
Lawrence Technological University 21000 West Ten Mile Rd. Southfield, MI 48075 248.204.3850 p |248.204.3861 f BlueDevilAthletics.com | ltu.edu
June 25 - June 28 M / T / W / TH Time: 6:00pm - 8:30pm Grade(s): 6th graders - 9th graders Cost: $65 Daily Itinerary: Check-in, skills and drills, check-out
July 19 - July 21 TH / F / Sat Time: 9:00am - 3:00pm July 22 Sun Time: 1:00pm - 4:00pm Grade(s): 7th graders -12th graders Cost: $95 Daily Itinerary: Check-in, skills and drills, Lunch, Scrimmage, check-out
LTU Camp Mission Statement All LTU camps will stress individual instruction with an emphasis on fundamentals, teamwork, fair play and sportsmanship.
All Camps Include a T-Shirt!
Space is LIMITED - Register EARLY!
July 26 - July 28 TH / F / Sat Time: 9:00am - 3:00pm July 29 Sun Time: 1:00pm - 4:00pm Grade(s): 7th graders-12th graders Cost: $95 Daily Itinerary: Check-in, skills and drills, Lunch, Scrimmage, check-out
July 30 - Aug 1 M / T / W Time: 9:00am - 3:00pm Aug 2 TH Time: 1:00pm - 4:00pm Grade(s): 8th graders-12th graders Cost: $95 Daily Itinerary: Check-in, skills and drills, Lunch, Scrimmage, check-out
Camp Staff Larry Wyatt Head Womenâ€™s Volleyball Coach Camp Director
Ed Ruhl Assistant Womenâ€™s Volleyball Coach Camp Co-Director
Volleyball Collegiate Athletes
Gym clothes (Volleyball Apparel), Gym Shoes, Water Bottle
Camps will be held at the Don Ridler Field House on the Campus of Lawrence Tech
*Lunch is not included in this cost. Campers are responsible for bringing their own lunches.
21000 West Ten Mile Rd. Southfield, MI 48075
Discount to: LTU Alumni There are no refunds for any reason.
Published on Jun 7, 2012