Manvel Insurance Release Form Applications will not be accepted without completion of this portion of the application . 2021

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 12 - July 14, 2021

Insurer: 8:00 AM—12:00 PM SKILLS CAMP for students entering grades 4th –incoming 9th graders Company: C/O Susan Kennedy Manvel High School Manvel 19601 Highway 6 Policy #: 2021 Volleyball Camp Manvel 77578 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.

2021Manvel Volleyball Camp Application Secondary Heading 2021Manvel HS Camp Staff and Instruction Info Camp Director: Name: Volleyball Camp Susan Kennedy Address: Manvel Head Volleyball Coach Dates: July 12-14, 2021 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: 4th—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 7th season at Manvel High school. Coach Kennedy will begin her 20th year coaching and teaching in the state of Texas. Grade in 2021 - 2022: Place: Manvel High School Gyms 19601 Highway 6 Other Manvel Volleyball Staff Members School for 2021-2022:______Manvel, TX, 77578 Camp Fee: Time: 8:00—12:00 PM (4th -incoming 9th graders) Camp Instruction will focus on the following: $60.00 (4th -incoming 9th graders) Individual Skills Camp is 1/2 price for Alvin ISD employees Transition

Serve Receive Make checks payable to: Rotation Alvin ISD Athletic Dept. Defense Memo: MHS Volleyball camp Communication Team Building T-shirt Information (select one) Having Fun Return the completed application to: Youth Small

Susan Kennedy Youth Medium Method of Payment c/o Manvel High School Volleyball Youth Large 19601 Highway 6 Adult Small Check No:

Manvel, Texas 77578 Adult Medium Cash

Adult Large Late registration and walkups will be on Monday, Adult X-Large July 12 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 5th Daytime/Cell Phone Number:

*Please complete the insurance form*