Contact Coach Jill

Camp Address
West Broward High School
500 NW 209th Ave.
Pembroke Pines, FL  33029


Mailing Address:
5722 S Flamingo Rd #418
Cooper City, FL 33330

Phone
954-734-7188

Email




Register for VB Camp
Camper information

Required fields maked with *

First Name*:
Last Name*:
Email*:
Phone*:
Address*:
City*:
State*:
Zip*:
School*:
Camp Session*:  
Morning Week 1 $125.00 @ WBHS
Morning Week 2 $125.00 @ WBHS
Afternoon Week 1 $125.00@ WBHS
Afternoon Week 2 $125.00 @ WBHS
All Day Week 1 $225.00 @ WBHS
All Day Week 2 $225.00 @ WBHS
Full Day 2 Weeks $450.00 @ WBHS
Spring Break $125.00 @ WBHS
Shirt Size:
Parent/
Gardian Name*:
Emergency Contact
Mobile*:
Insurance Information
Insurance:
Policy:
Insured's Name:
Special Concerns

I, the parent /guardian of the above named child, do hereby give my consent to their participation in all activities of the Bobcat Volleyball Camp. I affirm that my child is covered by primary medical insurance and will continue to be covered through out the duration of their attendance as a camper. I understand that I am responsible for my child's medical bills if injury occurs. I give my consent for medical treatment by the closest hospital, doctor, or medical facility.

Enter Code* (5311):