Downloads
Event Name: 2014 AM Youth Volleyball Camp August 4th - 8th
Entry Fee: $110.00
Sessions
Select At Least One: AM Session 9:00am-12:00
Participant Information
First Name:
Last Name:
Date of Birth: MM/DD/YYYY
Age:
Grade:
Gender:
Member:
Parent/Guardian Information
First Name:
Last Name:
Email Address: example@somesite.com
Address:
City:
State:
Zip Code: 5 Digits
Phone:
Emergency Phone:
Where did you
hear about this
program?
E-mail Newsletter
Mailed Brochure
Newspaper Ad/Article
Friend
Coach
At the Facility
MPCourts.com
TV AD During Celtics Game
Other
Payment Information
Card Number: Only
Name On Card:
Expiration Date:
Payment Amount: Example: 99.99
Billing Zip: 5 Digits
Comments:

By submitting this registration you understand that any participants attending the programs and using Mass Premier Courts, LLC facilities does so at his/her own risk. Mass Premier Courts and its owners, employees or agents, shall not be liable for any damage whatsoever arising from any personal injury or property loss sustained by participant with his/her family in or about any programs on the premises. Participants and parents assume full responsibility for all injuries and damages which occur in or about any programs on the premises, He/She does hereby fully and forever release discharged hold harmless "Mass Premier Courts, LLC", all associated facilities and its owner, employees, and agents from any and all claims, demands, damages or rights of action, present or future resulting from any person's participation in any programs or use of the facility. In addition, he/she agree(s) to follow the rules of conduct and play set by Mass Premier Courts, LLC. Failure to do so may result in suspension from participation. Consent: I the undersigned parent or guardian/participant do hereby grant authority to the staff at Mass Premier Courts to render a judgment concerning medical assistance or hospital care in the event of an accident or illness during my absence. I do hereby authorize "Mass Premier Courts and its assigns to utilize any and all photographs, pictures or other likeness of me or anyone assigned guardianship to me, as they deem appropriate in its promotional materials or team films.

I Accept I Do Not Accept


(Note: There are no refunds.)