RUTLAND RECREATION PRESENTS…
INSTRUCTIONAL VOLLEYBALL for
7TH & 8TH GRADE GIRLS
WHO: WACHUSETT DISTRICT 7TH & 8TH GRADE GIRLS
WHAT: Volleyball Instruction (all levels of play welcome)
WHERE: GLENWOOD ELEMENTARY SCHOOL GYM
WHEN: Wednesdays: 4/2, 4/9, 4/30, 5/14, 5/21, 5/28
COST: $75/6 WEEKS and a T-Shirt
INSTRUCTORS: WRHS GIRL’S VARSITY VOLLEYBALL COACHES
Mark Sutphen and Jen Burton.
SPACE IS LIMITED!!!!
To register: complete and drop off or mail in the form below (along with payment) to “Rutland Recreation”, 250 Main St., Rutland, MA 01543 (508)886-0048 no later than Monday, March 24, 2014 . Check our website for any changes or updates.
NAME: ____________________________AGE: _____ GRADE: _____
ADDRESS: ___________________________ TOWN: ___________
HOME PHONE:__________________ CELL PHONE: _______________
EMAIL ADDRESS: ___________________________________________
EMERGENCY CONTACT: _____________________________________
MEDICAL CONSIDERATIONS: _________________________________
T-Shirt Size: SMALL MEDIUM LARGE XTRA LARGE
I agree not to hold responsible the Rutland Recreation Commission; the Town of Rutland; the owners of the premises where the program is held; or any of the parties connected with the program for any injury or accident that may occur during the program. I understand that if my child becomes a discipline problem, he/she will be dismissed from the program. No money will be refunded. I also grant permission for the Recreation Staff to seek medical care for my child in the event that a family member cannot be reached. (All participants in any town recreation program must complete this waiver.)
SIGNATURE: ___________________________________________________ DATE: _______