WHO:
Junior High volleyball players
WHERE:
Smith Junior High School Gym
WHAT:
Volleyball participation and skill development
WHEN:
July 29 - Aug. 1
_____ - $30 8:30-10:00 7th and 8th grade
_____ - $35 10:00-12:00 9th grade
COST:
$30 or $35 for the entire session
CONTACT:
Deb Jarosz @ 472-9995
SIGN UP:
Complete the registration form below and mail with check, money order or credit card information to the address at the bottom of the page or TO PAY ONLINE CLICK HERE: www.mpsaz.org/pay Then click on Sports Camps.

-------------------------------Cut and Return here or pay on-line-----------------------

July 29 - Aug. 1
_____ - $30 8:30-10:00 7th and 8th grade
_____ - $35 10:00-12:00 9th grade

Contact: Deb Jarosz @ 472-9995 --- Account # 263-1326
TO PAY ONLINE CLICK HERE: www.mpsaz.org/pay
Then click on sports camps.
I give permission for my child to participate in the camp listed. I understand all risks and hazards
incidental to participation and do hereby waive, release, absolve, indemnify and hold harmless
Mesa Public Schools and the school from any claim arising out of any injury to my child.

Student
Name:
.
(H) Phone:
Parent/
Guardian:
.
(W) Phone:
Address:
City:
Zip:
Amt. Paid :

__________
Credit Card: ______Visa ______Mastercard

__________________________________
Exp. Date::

__________
3 Digit Code:

__________
Checks must be made payable to : Mesa Public Schools.
Mail to: Mesa Public Schools - Accounting CE, 63 East Main #101, Mesa, Az. 85201