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Medical History:  
Birth Deformities (one eye, one kidney, etc.):
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Allergies (drugs, food, asthma, etc.):
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Choose camp(s) attending: Youth Camp (June 7 & 21) - $50
Youth Camp (June 7 only) - $30
Youth Camp (June 21 only) - $30
Individual Camp (resident) - $200
Individual Camp (commuter with meals) - $150
Individual Camp (commuter without meals) - $110
Summer League - $150/team
Junior Varsity Team Camp - $25 per player
       JV Team Name:
Varsity Team Camp - $25 per player
       Varsity Team Name:

 
Total cost: $

By clicking submit, I understand that Dana College, volleyball director and instructors will NOT be held responsible for injuries or loss of property while the previously-named participant is attending camp. I do hereby release the State of Nebraska, Dana College, its officers, agents and employees from all liability, including claims and suits in law or equity for any injury, fatal or otherwise. The signatures below absolve the Dana Volleyball athletic camp of all responsibility for loss of personal property. Furthermore, I realize the risks involved to the participant. I will pay, or cover through my insurance, any medical or hospital expenses, doctor bills or other expenses which could be incurred as a result of treatment given to the previously named participant for illness or injury while attending or subsequent to attending the Dana Volleyball Athletic Camp. I herby authorize the athletic training staff of the Dana Volleyball Athletic Camp, the medical personnel of Memorial Community Hospital and other medical specialists in the Blair area to act for me according their best judgment in any emergency requiring medical attention. I further understand the camp retains the right to use, for publicity and advertising purposes, photographs of campers taken at the camp.

 

In order to complete registration, complete online payment information on the following page.


Click here to download a PDF of the brochure.