Transcript Slide 1

Missouri Baptist
University
RELEASE AND HOLD HARMLESS
AGREEMENT
WHEREAS, I am about to participate in an
Spartan Volleyball
Camp
2013
athletic event on my own initiative and upon
my own assumption of risk, in an activity
sponsored by the Department of Athletics at
Missouri Baptist University.
NOW, THEREFORE, I do hereby waive and
release any and all costs, damage, future
claims,
rights,
and
courses
of
action
occurring in my favor as a result of personal
injuries or property loss during travel to and
from and while participating in said activity
against Missouri Baptist University, and/or
any members, officers, and/or authorized
agents of the
above described; hereby
covenant and agree with them that no suit or
action of law shall be instituted for the
above reasons by me or others on my behalf
Having read and fully understood the above,
I certify that all information provided above
is true and correct, and freely sign this
Release and Hold Harmless Agreement.
SIGNATURE
DATE
Missouri Baptist University
One College Park Dr.
St. Louis, MO 63141
or in my right.
One College Park Dr.
St. Louis, MO 63141-8698
314-392-2395
www.mobap.edu
John Yehling
John Yehling is the Head Volleyball Coach
at Missouri Baptist University. Coach
Yehling has an overall record of 439-211.
He has coached MBU to several conference
titles, regional titles, and national
tournament appearances. Coach Yehling
runs camps each summer for No Limits
Volleyball Camps and at local and regional
high schools across the bi-state area.
Chris Nichols
Chris is the Head Coach for the Women’s
Volleyball Team at Missouri Baptist
University. Chris has been at Missouri
Baptist since 2000 as a player and then a
coach. He has coached high school boys
and girls volleyball at Francis Howell and
has coaches club volleyball for Team Saint
Louis/High Performance. He is currently the
girls recruiting director and 16 Gold coach
for High Performance.
John Rodgers
John also coaches club volleyball with High
Performance Volleyball Club. He has
coached at the college level at Missouri
State, Alabama, and North Carolina
Wilmington. John has been coaching for
over 19 years.
Brian Muesenfechter
Brian played at CBC, Lewis University and
for High Performance before coming to
MBU as the current Men’s Graduate
Assistant.
Registration Form
Camp Dates and Times
*Please circle all camps you wish to attend*
May 27th-28th Clinics
Attacking/Blocking 5-7 PM $90
Passing/Setting 7:30-9:30 PM $90
July 15th-17th
MBU Boys High School All Skills Camp
6-8:30 PM
$100
Name
Age
Address
Phone
High School
Club
July 22-24
MBU Girls High School All Skills Camp
1:30- 4 PM
PLAYER INFORMATION
$100
July 29thh-Aug 1st
MBU / NO LIMITS Grade School Camp
3-8th grades
Email Address
T-Shirt Size
S
M
L
XL
XXL
INSURANCE INFORMATION
Parent’s Insurance Carrier
5:30-7:30 PM (3rd-5th) $80
7:45-9:45 PM (5th-8th) $80
Account Number
Doctor’s Name
In case of emergency contact
Location: The Spartan Volleyball Camps will be
held at Missouri Baptist University in the new
Sports and Recreation Complex.
T-Shirt: Each athlete will receive a MBU volleyball
t-shirt for their participation.
Payment: Please make checks out to MBU
Volleyball and include with your registration form.
Contact Coach Chris Nichols at 636485-6084 or [email protected]
with any questions.
Their phone number
Allergies
Medications
PLEASE INCLUDE THIS
REGISTRATION FORM WITH CHECK
Missouri Baptist University
c/o Volleyball
One College Park Dr.
St. Louis, MO 63141