Summer Camp Registration

Name *
Phone *
Email *
Instructions In consideration of my child’s participation in this camp, I hereby release the Dynamic Impact Volleyball Club staff, officers, employees and Dynamic Impact Co. for any and all liability arising out of any injury or illness my child incurs while participating in camp activities. I understand the rigorous athletic activity in which she will be involved. I understand that participation is voluntary and I choose freely to have my child participate. By applying for this camp, I understand that DIVC may take photographs and/or videos of camp participants and activities. I agree that DIVC shall be the owner of and may use such photographs and videos relating to the promotion of future camps. No refunds will be given for summer camps.
Parent/Guardian Signature *
Date *
Camp Attending (check one) All DIVC Summer Camps are held at the Schaumburg Sports Center.
Select Your Date *
Each Class is $50.00 Please fill this form out and pay $50 separately for each Skills Camp under "Other" on the payments page you will be directed to. Availabilities in each camp are limited and on a first sign-up basis.May 17th & 19th - 5:30 - 7:30 Serving and PassingMay 24th & 26th - 5:30 - 7:30 All Skills CampJune 28th & 30th - 6:00 - 8:00 All Skills CampJuly 12th & 14th - 6:00 - 8:00 Hitting and ServingJuly 19th & 21st - 6:00 - 8:00 All Skills CampJuly 26th & 28th - 6:00 - 8:00 Attacking and PassingAugust 2nd & 4th - 6:00 - 8:00 All Skills Camp

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