Little Lady Jays Volleyball Camp
Who: Students currently in 1st through 6th grade
Dates: May 14, 15, 16th
Time: 3:30- 5:00
Where: South Gym
Cost: $20 includes a T-Shirt
Please turn in registration form and payment to your child’s teacher (1st-4th), or the Upper EleMiddle office (5th-6th) no later than April 27th . Make checks payable to Clever Booster Club.
Pick up will be at the South Gym/Upper EleMiddle circle drive at 5:00. Please be prompt in your pick up time.
Please read and sign the waiver on the back
____________________________________________________________________
____________________________________________________________________
Participant’s Name_______________ Grade:__ Teacher_______
Parent’s/Guardian’s Name:___________________________
Contact Phone # ____________ Secondary contact phone #______
Pick up method: ______circle drive ______ walk home
Person or Persons designated to pick up: _______________________________________________
*Please note all pick up changes must be made through the Lower and Upper EleMiddle offices.
T-shirt size: (please circle) Youth Small Adult Small Adult XL
Youth Medium Adult Medium
Youth Large Adult Large
