RELEASE AND HOLD HARMLESS AGREEMENT

1. Missouri Baptist University Spartan Volleyball Camp RELEASE AND HOLD HARMLESS AGREEMENT WHEREAS, I am about to participate in an 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 or in my right. 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 2013 Missouri Baptist UniversityOne College Park Dr.St. Louis, MO 63141 One College Park Dr.St. Louis, MO 63141-8698 314-392-2395 www.mobap.edu

2. Registration Form PLAYER INFORMATION Name Age Address Phone High School Club Email Address T-Shirt Size S M L XL XXL INSURANCE INFORMATION Parent’s Insurance Carrier Account Number Doctor’s Name In case of emergency contact 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 John Yehling Camp Dates and Times *Please circle all camps you wish to attend* 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. 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 July 22-24 MBU Girls High School All Skills Camp 1:30- 4 PM $100 July 29thh-Aug 1st MBU / NO LIMITS Grade School Camp 3-8th grades 5:30-7:30 PM (3rd-5th) $80 7:45-9:45 PM (5th-8th) $80 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. 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 636-485-6084 or NichoC@mobap.edu with any questions. 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.