Participant's Name: ___________________________________________ 


Mailing Address: _________________________________________________ 


City: _______________________ State: _____ Zip code: _____________


Home Phone: ( ____ ) ____________________    Age: (as of May 31, 2009) ______ 


Grade: (completed May, 2009) _______  School: ______________________________________


Parent's e-mail address: ___________________________________________

Camp Attending:
     Beginning Skills Camp  ($60)

     Individual Skills Camp-Resident  ($315)  
     Individual Skills Camp-Day  ($300) 

     Team Camp-Resident  ($315)  
     Team Camp-Day ($300) 

     Position Camp-Resident  ($225) 
     Position Camp-Day ($210) 

     Coaches' Clinic-Resident  ($150) 
     Coaches' Clinic-Day  ($125)  

Roommate Preference: _____________________________________



If I am accepted, I agree to conform to the regulations of the Championship Volleybal Camps of East
Texas. I understand that a $50 nonrefundable deposit is required to reserve my space in the
camp(s) in which I am enrolling. I further understand that the balance of the camp fee will be due
at or before the time of camp check-in.


__________________________________
Camper Signature



__________________________________
Parent/Guardian Signature

**Please do NOT staple your check to the application form.