Volleyball Camp

Please fill out this form to register your child(ren) for our Volleyball Camp.
Bethany Community Church is excited to host our first volleyball camp for kids! Open to all kids entering 4th - 6th grade, we will have four fun-filled evenings together learning skills and playing volleyball in an uplifting Christian environment!

Please have your child bring a drink.  If you have a volleyball your child could use, please label it and bring it each night. We look forward to seeing you at camp!
 
 
 
Please select one option.
 
Child Information

 
Please select one option.
 
Please select one option.
 
 
 
 
Additional Children

 
Please select one option.
 
Please select one option.
 
 
 
 
 
Please select one option.
 
Please select one option.
 
 
 
 
Payment

The registration fee of $30 is due on the 1st night of camp.  Checks can be made out to Bethany Community Church.
Consent

I, the undersigned parent/guardian, hereby consent to my above named child(ren) participating in activities connected with BETHANY COMMUNITY CHURCH in Washington, IL. I certify that my child is able to participate in these activities including (but not limited to) sports and snacks.


I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITIES, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. 


If my child has medical conditions, which may be relevant to a physician in the event of an emergency, I have listed them. In the event that an emergency occurs, I may be reached at the telephone number listed. If I cannot be reached within a reasonable period of time, I hereby authorize the Bethany Community Church staff to make emergency medical decisions for my child. I consent to the use of my child’s portrait or picture for purposes of trade, publicity, and/or information by BETHANY COMMUNITY CHURCH. 


I do hereby agree to hold BETHANY COMMUNITY CHURCH and its agents and employees, harmless from any and all liability, actions, causes of action, claims, expenses, and damages on account of injury to my child or property, even injury resulting in death, which I now have or which may arise in the future in connection with the activity and participation in any other associated activities. I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the State of Illinois law and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto, and the terms of this release and contractual and to a mere recital. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement, which I have read and understand. 

 

Description

Please fill out this form to register your child(ren) for our Volleyball Camp.