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: 7/28–8/1    11:30am – 1:30 pm  Cost: $80

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 Verbana                                                     Naperville, IL. 60565