Manvel Insurance Release Form Applications will not be accepted without completion of this portion of the application . 2015

I, the undersigned, as the parent or legal guardian of Camp the minor child, hereby acknowledge that the above named child is covered by medical insurance as follows: July 20- July 23, 2015

9:00 AM—11:30 AM Insurer: SKILLS CAMP for students entering grades 4th –incoming 9th graders

Company: Manvel High School Manvel 19601 Highway 6 Policy #: Manvel 77578 2015 Volleyball Camp

I, as parent or guardian, hereby give permission for my child to participate in the volleyball camp and acknowledge the fact that he/she is physically able to participate in camp activities. I hereby authorize the camp staff to act for me according to their best judgment in any emergency Make checks payable to: requiring medical attention. I acknowledge that I may be responsible for any cost (through family medical insurance Alvin ISD Athletic Dept. or otherwise) incurred due to sickness or injury to my Memo: MHS Volleyball camp son/daughter. I hereby waive any claim I might have against the camp, director, or the institutions providing the Mail to Sarah Paulk facilities. c/o Manvel High School Volleyball Parent/Guardian Signature: 19601 Highway 6 Camp Director: Manvel, 774 Sarah Paulk Date: [email protected]

This athletic camp follows guidelines set forth by Alvin ISD and the UIL.

2015 Manvel Volleyball Camp Application Secondary Heading 2015 Manvel HS Camp Staff and Instruction Info Camp Director: Name: Volleyball Camp Sarah Paulk Address: Manvel Head Volleyball Coach Dates: July 20— July 23, 2015 Coach Paulk is a graduate of Pearland HS where she was a 4-year City/Zip: in volleyball. In high school, she received numerous All Tournament Honors and was selected to the All State and All Star- Home Phone: Grades: 4th—incoming 9th graders Team. She played collegiate volleyball for 4 years at the University of E-mail Address: Maryland where her team won the ACC conference title her junior and senior seasons and she was named conference MVP her senior Place: Manvel High School Gyms year. Coach Paulk will begin her third season at Manvel High School Grade in 2015 - 2016: 19601 Highway 6 for the 2015 volleyball season. Manvel HS has qualified for the state School for 2015-2016:______playoffs in both seasons under Coach Paulk. Prior to Manvel she Manvel, Tx 77578 spent 7 years at where she helped lead PHS to Time: 9:00—11:30 AM (4th-incoming 9th graders) the playoffs all 7 years and the Regional Quarter finals in her last 3 Camp Fee: years.

Other Manvel Volleyball Staff Members $90.00 (4th-incoming 9th graders)

Feeder Junior High Coaches

Cost: $90.00 Camp Instruction will focus on the following: Make checks payable to: Individual Skills Alvin ISD Athletic Dept. Transition Memo: MHS Volleyball camp Serve Receive T-shirt Information (select one) Rotation Return the completed application to: Defense Youth Small Sarah Paulk Communication Youth Medium Method of Payment Team Building Youth Large c/o Manvel High School Volleyball Having Fun Adult Small Check No: 19601 Highway 6 Adult Medium Cash Manvel, Texas 77578 **Concession stand on site** Adult Large

Adult X-Large Late registration and walkups will be on Monday,

July 20th from 8:00 A.M. - 8:45 A.M. To ensure proper tshirt size make sure you have your form mailed by July Parent/Emergency Contact Name: 10th.

Daytime/Cell Phone Number:

*Please complete the insurance form*