BENET ACADEMY

2008 BOYS VOLLEYBALL CAMP

Registration Form

NAME: _______________________________________________

 ADDRESS: ___________________________________________

 CITY: _________________________ ZIP CODE: ____________

 GRADE: __________ PHONE: (   ) __________________

 (2008 – 2009 School year)

E-Mail Address: ____________________________________

 All Skills Camp: July 28th – August 1st

    8 – 11 a.m.

    Cost: $130

  T-shirt Size:  Youth L  Adult S  Adult M Adult L Adult XL

  (Please Circle one)

  Emergency Contact Information

  Name: ___________________________________________

  Relationship to camper:______________________________

  Phone: (   ) _______________ Cell: (   ) _____________

  Please fill out the registration form and mail with your check            (made payable to Amy Van Eekeren) to: Amy VanEekeren                                                419 Verbena Court                                              Naperville, IL. 60565