SCHSBOYS’ VOLLEYBALL |
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.SCTRITONVOLLEYBALL.COM
SUMMER VOLLEYBALL CAMP 2023
SAN CLEMENTE HIGH SCHOOL HEAD BOYS VOLLEYBALL COACH JUSTIN DEBLASIO AND COACHING STAFF, ALONG WITH CURRENT TEAM MEMBERS, INVITE YOU TO SAN CLEMENTE HIGH SCHOOL FOR OUR ANNUAL SUMMER CAMP – FEATURING FUNDAMENTAL VOLLEYBALL SKILLS, COMPETITIVE GAMES, AND DEVELOPING YOUR LOVE FOR THE SPORT
WHEN: MONDAY –THURSDAY
JULY 17TH –JULY 20ST &JULY 24TH –JULY 27TH
CLINIC HOURS:1:00PM -3:00PM
WHERE: SAN CLEMENTE HIGH SCHOOL MAINGYM
WHO: INCOMING 9TH GRADE BOYS
DONATION: $150
PLEASE BRING ENOUGH BOTTLED WATER FOR 2 HOURS, KNEE PADS (OPTIONAL), AND ATHLETIC SHOES.
PARTICIPANT NAME: _________________________________________________ GRADE:
PARTICIPANT ADDRESS: _________________________________________________ SCHOOL:__________________
PHONE NUMBER: _______________________________
EMERGENCY CONTACT: _______________________________
E-MAIL: ________________________________________
EMERGENCY PHONE: _______________________________
PARENT/LEGAL GUARDIAN SIGNATURE RELEASES AND HOLDS HARMLESS SCHS AND SCHS BOYS VB BOOSTER CLUB AND CUSD FROM LOSS, LIABILITY, OR CLAIMS OR DAMAGES WHATSOEVER BECAUSE OF INJURY OR DEATH RESULTING FROM NEGLIGENCE OR OTHER ACTS TO THE MINOR I HEREBY AUTHORIZE SCHS TRITON BOYS VOLLEYBALL PROGRAM TO ACT ON MY BEHALF ACCORDING TO THE BEST INTEREST OF MY MINOR CHILD AND ACCORDING TO THEIR BEST JUDGEMENT SHOULD ANY INJURY OCCUR. PHOTOS MAY BE USED ON OUR WEBSITE AND OR IN SCTRITON BOYS VOLLEYBALL MEDIA GUIDE.
INITIALS OF ACCEPTANCE
PARENT SIGNATURE: ____________________________________________ DATE:
PLEASE MAKE YOUR $150.00 DONATION CHECK PAYABLE TO TBC - SCHS BOYS VOLLEYBALL
MAIL FORM AND DONATION TO:
MikeKosolchareon|SCHSBoysVolleyballTreasurer
20ViaPacifica|SanClemente,CA92673
FOR MORE INFORMATION: WWW.SCTRITONVOLLEYBALL.COM
QUESTIONS ABOUT THE CLINIC? E-MAIL COACH DEBLASIO AT JRDEBLASIO@CAPOUSD ORG
VENMO ACCEPTED – PLEASE BE VERY DESCRIPTIVE WITH YOUR DONATION MADE THROUGH VENMO
PLEASE STATE: “SUMMER VOLLEYBALL CAMP – PARTICIPANT: NAME OF CHILD”
FORM MUST BE SIGNED AND SUBMITTED.
Non-Discrimination Statement
The Capistrano Unified School District prohibits discrimination, intimidation, harassment (including sexual harassment) or bullying based on a person’s actual or perceived ancestry, color, disability, gender, gender identity, gender expression, immigration status, nationality, race or ethnicity, religion, sex, sexual orientation, or association with a person or a group with one or more of these actual or perceived characteristics.
THECONSTITUTIONOFTHESTATEOFCALIFORNIAREQUIRESTHATWEPROVIDEAPUBLICEDUCATIONTOYOUFREEOFCHARGE. YOURRIGHTTOAFREEEDUCATIONISFORALL SCHOOL/EDUCATIONALACTIVITIES, WHETHERCURRICULAROREXTRACURRICULAR, ANDWHETHERYOUGETAGRADEFORTHEACTIVITYORCLASS.SUBJECTTOCERTAINEXCEPTIONS, YOURRIGHTTOAFREEPUBLICEDUCATIONMEANSTHATWECANNOTREQUIREYOUORYOURFAMILYTOPURCHASEMATERIALS,SUPPLIES,EQUIPMENTORUNIFORMSFORANYSCHOOL ACTIVITY,NORCANWEREQUIREYOUORYOURFAMILYTOPAYSECURITYDEPOSITSFORACCESS, PARTICIPATION, MATERIALS,OREQUIPMENT.(VERSION4/18/22)