Molten V 
Summer 
9tth – 
Bo 
Mondays 
Session 1 Defense/Passing 
Session 2 Attacking 
Skill Specific Instruction for Athletes of All Levels 
Session 1: Week of June 14 
Session 2: Week of July 19 
Mornings 
1:10 Coach to Athlete ratio 
$ 
$45 for each additional session 
Cost includes 
secondary insurance, 
Summer 
Mail Registration Form with check 
Each clinic must have a minimum of 
Contact Tony Larocca with inquiries by email at tony.pedgewi@gmai 
Volleyball Cam 
r Skiill Cliin 
12tth Grade 
oys and Giirlls 
Tuesdays Wednesdays Thursdays 
Attacking/Serving Setting Attacking/Blocking 
Setting Passing/Serving Defense 
4-Week Sessions 
14th – July 5th 
19th – August 9th 
from 9 – 10:30 AM 
50 for 1st session 
coach salary, court rental, 
and clinic t-shirt. 
Skill Clinics will be held at: 
Sports Advantage Center 
807 Parkview Rd 
Ashwaubenon, WI 54304 
or money order payable to: 
Molten Volleyball Camps 
807 Parkview Rd 
Ashwaubenon, WI 54304 
6 athletes to proceed. Registration deadline is June 1. 
gmail.com or by phone, 608 
mps 
niics 
e
l.608-217-6531

MVC Summer Skill Clinics 


9th – 12th Grade Clinic Registration Form 

Please Print Clearly 

Athlete Information: 
Name: _________________________________________________ 
Birth Date: _______________ Entering Grade: ________________ 
Phone: _________________________________________________ 
Address: _______________________________________________ 

Email: _________________________________________________ 

Check here [ ] if you would like to be excluded from our email list for future events and activities. 

T-shirt Size (Adult sizes): ____________ 

Registration for Clinic: (‘X’ as necessary) 
Session 1 (6/14-7/9/10) Session 2 (7/19-8/12/10) 
Monday: _______ Monday: _______ 
Tuesday: _______ Tuesday: ______ 
Wednesday: ____ Wednesday: ____ 
Thursday: ______ Thursday: ______ 

2010 Molten Volleyball Camps’ Liability Waiver 

I, the undersigned, have adequate insurance and am/are willing to take full financial responsibility for any and all injuries sustained by 
my son/ daughter/legal ward, ____________________, while participating in camp/clinic/league activities. I further knowingly and 
voluntarily waive any and all claims against and forever release the camp/clinic/league, its employees, Molten Volleyball Camps, and 
Club Fusion, Inc. 

My insurance carrier is __________________________________________________ 

Policy Number _________________________________________________________ 

Emergency Contact _____________________________________________________ 

Phone Number _________________________________________________________ 

My signature below will allow a coach or designated person to admit my son/daughter/legal ward to a medical facility and/or to the 
care of a physician, if conditions warrant such action. First notification will be to the emergency contact listed above. 

Parent / Legal Guardian Signature Date 

Parent / Legal Guardian Printed Name 

1st Session Fee: $ 50 Payable to: Molten Volleyball Camps 

Additional Sessions:__ x $45 = _____ 
Total Fee: $______ 

Mail registration to: Molten Volleyball Camps, 807 Parkview Rd, Ashwaubenon, WI 54304