(Please print out, complete and mail to Assistant Coach Samantha Hartwell)

NAME:___________________________________________________

PHONE: ___________________

ADDRESS: _______________________________________________

CITY/ZIP: ________________________________


AGE: ________              HEIGHT: _________

GRADE:  _________

DOB: _____________

SCHOOL: _____________________________________

PLAYING EXPERIENCE:  ______________________________

Please select camp session(s):

SKILLS CAMPS (Two Sessions)

Skills Camp I ______     Elite Skills Camp  II _______

ADVANCED OVERNIGHT CAMP

Live-in ______               Commuter______

T-Shirt size(adult):   S   M   L   XL   (circle one)

(youth)   M   L

Please note any medical conditions:

____________________________________________________



Doctor's name and number:

__________________________________________________


Emergency Contact:  ______________________________________

Phone:  ______________________________

Email: _______________________________   (please write legibly)

Parent/Guardian Signature _________________________________

Date________________________________

Mail to:
Gilad Doron /  USF Volleyball Camp
University of San Francisco, 2130 Fulton Street
San Francisco, CA 94117-1080

Email: shartwell@usfca.edu, or gdoron@usfca.edu

Please send $50 deposit with application. Full payment is expected
one week prior to each camp.  The deposit must accompany
 the application and is non-refundable.Your credit card will be
charged the deposit immediately and the balance will charged
 one week prior to start dte of camp.

Check or

Credit Card  No. __________________________  MC/VISA

Amount to be charged:_____________________

Exp. Date________________________

Signature________________________________