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

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

Insurer:

Company:

Manvel Policy #: July 15— July 17 2019 2019 Camp I authorize the camp personnel to act for me in case of any medical emergency. I understand I am responsible for all medical fees associated with any injury that may occur. My child is physically fit to participate in any vigorous activity that might take place at Alvin ISD Sports Camps. By my signature below, I here- Make checks payable to: by release and forever discharge, and waive, Alvin ISD Athletic Dept. any and all claims against Alvin ISD, its em- Memo: MHS Volleyball camp ployees, sponsors, trustees, workers, and vol- unteers that relate to my election regarding and/or my child’s participation in the Alvin Mail to Susan Kennedy ISD Sports Camps. c/o Manvel High School Volleyball

Parent/Guardian Signature: 19601 Highway 6 Manvel, 77578. Camp Director: Susan Kennedy Date: [email protected] This athletic camp follows guidelines set forth by Alvin ISD and the UIL.

2019 Manvel Volleyball Camp Application Secondary Heading 2019Manvel HS Camp Staff and Instruction Info Camp Director: Name: Volleyball Camp Susan Kennedy Address: Manvel Head Volleyball Coach Dates: July 15-17, 2019 Coach Kennedy is a graduate of Clear Creek HS where she partici- City/Zip: pated in volleyball, , and soccer. In high school, she re- ceived numerous All-Tournament Honors and was selected to the Home Phone: Grades: 3rd—incoming 9th graders All-District Team 3 years running. She played collegiate volleyball E-mail Address: for Southern Arkansas University. Coach Kennedy will begin her fifth season at Manvel High school. Coach Kennedy will begin her 18h year coaching and teaching in the state of Texas. Grade in 2019 - 2020: Place: Manvel High School Gyms 19601 Highway 6 Other Manvel Volleyball Staff Members School for 2019-2020:______Manvel, TX, 77578 Camp Fee: Time: 8:00AM—12 PM (3rd -incoming 9th graders) Camp Instruction will focus on the following: $65.00 (3rd -incoming 9th graders) Individual Skills Camp is 1/2 price for Alvin ISD employees Transition Cost: $65.00 Serve Receive Rotation Make checks payable to: Defense Alvin ISD Athletic Dept. Communication Memo: MHS Volleyball camp Team Building T-shirt Information (select one) Having Fun Youth Small Return the completed application to: Youth Medium Method of Payment Susan Kennedy Youth Large c/o Manvel High School Volleyball Adult Small Check No: 19601 Highway 6 Adult Medium Cash Manvel, Texas 77578 Adult Large Adult X-Large Late registration and walkups will be on Monday,

July 15 from 7:30 A.M. - 8:00 A.M. To ensure proper Parent/Emergency Contact Name: t-shirt size make sure you have your form mailed by July 10th. Daytime/Cell Phone Number:

*Please complete the insurance form*