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The 5-time defending state champions in volleyball, Siloam Springs High School, will host the LITTLE LADY PANTHER VOLLEYBALL CLINIC Monday, August 3rd AND Tuesday, August 4th At the SILOAM SPRINGS HIGH SCHOOL VOLLEYBALL GYM from 6:00PM-8:30PM.



Joellen Wright
Siloam Springs Middle School
Physical Education Teacher
Volleyball & Basketball Coach
(479) 524-6184
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2009 LITTLE LADY PANTHER VOLLEYBALL CLINIC

Monday and Tuesday, August 3rd and 4th, 2009

SILOAM SPRINGS HIGH SCHOOL VOLLEYBALL GYM, 6:00PM-8:30PM
(home of the 5A STATE Volleyball CHAMPIONS the past 5 years)

Wear cool athletic clothes and tennis shoes; for girls entering grades 4-7; basic skills and team play will be taught.

Cost of Camp: $30 without a tshirt or $40 with a tshirt
(Make Checks Payable to SS Volleyball Booster Club)

Complete form below and bring the day of the camp

Name of Camper:__________________________________________________
School: ________________________Grade:________
Name of Parents: ____________________________
Parents Phone: ____________________________
Emergency Contact:_________________________________
Emer. Phone: _____________________

I understand that this camp, event or activity held at Siloam Springs High School and called Lil’ Lady Panther Volleyball Camp on Monday and Tuesday, August 3 and 4, 2009 is a Siloam Springs School District sponsored event that is organized, supervised and conducted by Siloam Springs School personnel. The camp time is 6:30pm to 8:30pm. I understand that it is my responsibility to get my child to the camp. I understand that there will be no call or follow up by school officials if my child is not at camp. My child will also follow camp rules and stay at the camp with directors during the camp hours unless I make arrangements with camp directors for my child to be picked up early. I also understand that I must either pick up my child or make arrangements for my child’s care immediately at the end of camp each day. I also understand that there is a risk of physical injury or harm from participating in this camp or activity as well as other school camps, events and activities. I understand that students and participants in this camp, event, or activity are not covered by any school insurance. I understand that if a student or participant is injured in this camp, activity or event, the student or parent of that student is responsible for payments for all doctor or hospital costs or bills that result from any injury. I understand that it is strongly recommended that parents secure health or accident insurance before allowing any child to participate in any school camp or activity including this one. I also give my permission for my child to participate in this school camp, event or activity. I know that my child is physically fit, healthy, and capable of participating fully in this camp, event or activity.

Date:______________
Parent’s Signature_____________________________________________________

______ NO, I DON’T WANT A T-SHIRT, CAMP FEE ONLY $30
_____   YES, I WANT A T-SHIRT—CAMP FEE TOTAL $40

(ADDITIONAL SHIRTS $10, parents welcome to buy one, too)

quantity beside size: YS___ YM ___ YL____ AS ____AM ___ AL ___ AXL ____

SHIRTS TO BE DELIVERED AT FIRST HOME CONFERENCE GAME, TUESDAY, SEPTEMBER 3rd vs Greenbrier.
 
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Bailey Vertical   Mar 2015

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