SHORELINE COMMUNITY COLLEGE

2005 VOLLEYBALL CLINIC REGISTRATION FORM

PRINT: Name__________________________________________________________

Telephone No.___________________________________________________________________

Address__________________________________________________________________________

Grade Entering in Fall__________ School____________________________________ Age___________

Check appropriate week.   Note: No registration verifications will be sent. Attend the clinic of your first choice unless notified.

COST:         $100.00                                                             

T-Shirt Size: M____________ L___________ XL___________    

Registrations received without shirt size indicated will be recorded as a Large.

Amount Enclosed $_________________

I hereby give permission for the above named to participate in the 2005 Summer Volleyball Clinic at Shoreline Community College.

Signature __________________________________________________ Date _______________

(Parent/Guardian Signature)

Attend the clinic you register for unless you are contacted.

(NOTE: No clinic registration will be accepted without payment. Registration can only be accepted on this form or a photocopy).

Any request for refunds must be received in writing by 4:30 P.M. June 30, 2005 and July 1 for week 2 All refunds are subject to $25.00 processing fee

Registration for the 2005 clinics will be accepted after March 30on a first come first serve basis.