- AJ Palumbo Center

Coach Steve Opperman's 2010 Dukes Volleyball Camp

Waiver:

I hereby authorize the staff of Duquesne University to act for me according to their best judgment in any emergency requiring medical attention for the said camper. I hereby waiver and release Duquesne University, its corporations, trustees, employees, students and agents from any and all costs, liability and expense for any personal injuries or illness in any way related to participation in the camp program.

I have no knowledge of any physical impairment that would be affected by the said camper's participation in the camp program. I also understand Duquesne University retains the right to use, for publicity and advertising purposes, photographs of campers participating in the camp program.

I have read the above waiver and accept the conditions for the 2010 Dukes Volleyball Camp.

Registration Information: Camper's First Name:
Camper's Last Name:
Age:
Grade (as of Fall 2010):

Address

City
State
Zip Code

Camps
Hitter Camp
Setter Camp
Skills Camp - Commuter (July 18-21)
Skills Camp - Overnight (July 18-21)
Roommate preference:

Legal Guardian's Name:
Home Phone:
Work Phone:
Email Address:

Emergency Contact:
Emergency Phone:

After completing this online registration form, please send in a $60 non-refundable deposit to:

Duquesne University Volleyball Camp
A.J. Palumbo Center
600 Forbes Avenue
Pittsburgh, PA 15282

**Make checks payable to: Steven Opperman