For Girls in Grades 1-6 - Parker - Parker School District

Parent/Guardian Signature _______________________________________

I hereby state that my daughter is insured and is in good physical health. I understand that the coaches and school are not responsible for any accidents or injuries sustained by my child when attending or participating at this clinic. I also understand that in case of injury, I give my consent for proper medical treatment if needed.

For Girls in Grades 1-6

Parker Pheasants Volleyball

Coaching Staff Jill Christensen, Head Coach Roger Knecht, Asst. Coach

Tuesday, Oct 11th

3:45-6:00

High School Gym

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Make checks payable to: Parker VB Fund.

Return by Monday, October 3rd

Participants will receive a clinic t-shirt and pizza for supper.

The Parker High School volleyball team will be assisting with the clinic.

Adult Large

Youth Large Adult Medium

Youth Medium Adult Small

Circler T-shirt Size:

Phone Number: _________________________________________________________

Parent / Guardian Name: __________________________________________________

Grade: ____________ Teacher Name: ______________________________________

Student Name: __________________________________________________________

Cost $15