DAYTON FLYERS VOLLEYBALL CAMPS

July 15-17, 2013, Dayton, Ohio
at The Frericks Center on the UD Campus

CAMP COSTS

$245.00/player* 

CAMP PARTICULARS

9 a.m.-3 p.m.
Open to Girls Grades 6-8

FOR REGISTRATION INFORMATION:

Phone: 1-937-229-2365
E-Mail: Click Here!
2013 Camp Brochure: Download Here!
Register On-Line: Now Available!
Medical Release Form: Download Here!

If mailing a check make payable to: Dayton Flyers Volleyball Camp

TO CONTACT THE UD VOLLEYBALL CAMP STAFF:

Phone: 1-937-229-2365
E-Mail: Click Here!

Mail Questions To:
Dayton Flyers Volleyball Camp
300 College Park
Mailcode 1227
Dayton, OH 45469


* Add 6% convenience charge for on-line registrations

All University of Dayton camps are open to any and all entrants, limited only by number, age, grade level and/or gender.

Registration Note: Registration deadline is July 1, 2013. All campers who cancel, including those for medical reasons, will be refunded all pre-paid fees, minus a $50 handling fee, provided they cancel before June 15, 2013. No refunds are given with less than two weeks notice before the start of camp for any reason.

Please complete the form below and submit camp payment.

 
Payment Option*
 Credit Card
 Mailing in Check*
 
* If you are mailing in a check, completely fill out this form and click on the 'register' button at the bottom of the page. On the next page, you can exit your web browser. Then, you can mail in your check made payable to Dayton Flyers Volleyball Camp to: Dayton Flyers Volleyball Camp; 300 College Park; Mailcode 1227; Dayton, OH 45469. In the memo line of your check, please indicate the name or names that payment is for, and which camp or camps you have signed up for.
 
Camper's Name (Last, First)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Parent/Guardian Name(s)*
 
Parent's E-Mail Address*
 
Camper's Home Phone #*
 
Mother's Cell Phone #
 
Father's Cell Phone #
 
Age*
 
Grade Entering (as of Sept. 2013)*
 
Birthdate (Month/Day/Year)*
 
Height*
 
Position*
 Setter
 Outside Hitter
 Middle Blocker
 Libero
 
Camper's School*
 
Coach's Name
 
Coach's E-mail Address
 
Club Team Name
 
T-Shirt Size (adult sizes)*
 S
 M
 L
 XL
 XXL
 
Would you like to also purchase a Tachikara volleyball for an additional $30? (optional)*
 Yes
 No
 
How did you hear about UD Volleyball Camp?*
 Past Camper
 DaytonFlyers.com
 Internet Search
 Brochure/Mailer
 Advertisement
 Facebook
 Other
 
Other
 

INTERNAL USE - Campers DO NOT fill out next two lines  
Check Received (Check #, Date, Amount)
 
Balance Due
 

MEDICAL CONSENT FORM
In order for the Dayton trainer, a member of the trainer's staff, the staff of the University of Dayton Health Center and/or any other medical facility to provide prompt care to your minor, we must have a new completed Medical Consent Form on file each year.This way,we can help your child in an emergency without delay.
 
Name of Minor*
 
Insurance Company*
 
Policy Number/Group #*
 
Name of policy holder
 
Allergic Reactions
 
Present Medication (include dosage)
 
Any past illness or other information that would be useful in the event of medical treatment
 
If parent can't be reached, name, number and relationship of another person to contact*
 

* I grant permission to the director, assistants, or other persons responsible for said minor to act on my behalf for said minor in granting permission for evaluation and treatment of medical problems. I understand that should a major medical problem arise, an attempt will be made to notify me by telephone. In the event that I cannot be reached, I hereby give my consent to such treatment as deemed necessary (including surgery, x-ray examinations, and anesthesia to be rendered to said minor by a licensed physician or nurse)  

* In consideration of my child's application being accepted, I, intending to be legally bound, do hereby, for myself, my heirs, executors and administrators, waive, release and forever discharge any and all rights and claims for damages, which my child may have or which may hereafter accrue to them against the Dayton Flyers Volleyball Camp, the University of Dayton or its or their respective officers, agents, representatives, successors and/or assigns; for any and all damages which may be sustained or suffered by them in conjunction with their association in and/or rising out of their traveling to or returning from said camp to be participated in at Dayton, Ohio.  

Parent/Guardian Name*
 

PAYMENT OPTIONS
Please select your camp options by indicating a '1' in the quantity field for the camp you'll be attending. Also note that the price below includes the 6% on-line registration surcharge. NOTE: If you are mailing in a check, you still must put the '1' in the appropriate boxes, click register at the bottom of the page, and then when you are taken to the credit card payment page, you can close your web browser.

Note: A charge from Hoosier Sports Camps will appear on your credit card for your on-line registration. However, if any of the Dayton Flyers Volleyball Camps are canceled for any reason, refunds must be collected directly from the Dayton Flyers Volleyball Camp, 300 College Park, Mailcode 1227, Dayton, OH 45469. Phone 937-229-2365.
 
Qty 
 $260.00 Individual Registration - Payment in Full

 $32.00 Tachikara Volleyball Purchase (optional)