Sponsored by Dianne Furusawa -Head Volleyball Coach River Dell High School

The River Dell Volleyball Camp is not an activity of the River Edge Board of Education or Cherry Hill or Roosevelt Schools. Sponsored by Dianne Furusawa -Head Volleyball Coach River Dell High School.

River Dell Volleyball Camp (Home of the 2011 NJ Group II State Champs) Monday - Thursday AGES: July 14 - July 17, 2014 GOING INTO 5th – 9th GRADE 9am – 12 noon Any level: Beginners Welcome Location: Coaches: River Dell HS Gymnasiums River Dell Coaches 55 Pyle Street (REPORT TO THE MAIN GYM) Dianne & Ichi Furusawa Oradell & RD Varsity and Alumni Players

COST: $125 MAIL TO: Make checks payable to: DIANNE FURUSAWA River Dell Volleyball Booster Club HEAD VOLLEYBALL COACH 55 PYLE STREET ORADELL, NJ 07649 CUT HERE CUT HERE CUT HERE

Name: Consent and Waiver: In consideration of acceptance of my child in the Volleyball Camp ______outlined above, I hereby for myself, my child, their heirs, executors and administrators waive and release any claim we gave for damages Grade in Sept 2014: _____ against River Dell Volleyball Coaches, their officers, employers, or Address: representatives or their successors or assigns from any and all injuries, that may be suffered by my child while or as a result of participation in RE / Oradell the above said program. I certify that I am the parent/guardian of and I am over the age of 18. Please sign below: Best Contact Phone: Alternative #: ______PRINT Name Signature Date Email:

Shirt Size: Circle One/Youth or Adult YES, my daughter has permission to meet me outside or walk home. YS YM AS AM AL NO, I will pick up my daughter in the gym. (please circle one) Campers can arrive from 8:45 and should report to the high school main gym. Camp will be over at 12 noon. Please pick up your daughter in the gym by 12:15.

Campers should be dressed in sneakers, shorts and a T-shirt and bring a water bottle. Knee pads are optional. For beginners, I find it is helpful to make arm bands by cutting the

feet off of an old pair of socks. This is optional.

Please feel free to contact me, [email protected] , if you have any questions or concerns.

Sincerely,

Coach Furusawa Head Volleyball Coach