BLS Volleyball Camp Registration

Dates:  June 13 - June 16

Time:  9:00 am – 11:30 am

Grades:  Rising 3rd - Rising 8th

Contact:  Kerri Carnes | kerri.carnes@benlippen.com

Parent Name (first and last):

Email:

Phone Number:

Alternate Phone Number:

BLS Faculty or Staff?

Mailing Address

Address:

City:

State:

Zip:

Campers

Camper Name (first and last):

Grade (going into):

Gender:

T-Shirt Size:

Please list any allergies or medications:

Address (if different from above):

The following campers will be registered:

Insurance Company and Policy Number:

Camp Release/Waiver:

Please click here to print and sign the waiver.  Every camper must have a signed waiver prior to participating in camp.

Pay Online Now? 

Payment Amount: