Zip Code__________________________
Address________________________________________________________ City/State______________________________
_________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________
Boys Basketball—Grades 9th-12th Boys Basketball—Grade 6th-8th Girls Basketball—Grades 9th-12th Girls Basketball—Grades 1st-8th Football—Grades 9th-12th Football—Grades 6th-8th Boys & Girls Soccer—Grades 9th-12th Boys & Girls Soccer—Grades 6th—8th Tennis—Grades 6th-12th Volleyball—Grades 10th-12th Volleyball—Grades 7th-9th
________
$25.00
$25.00
$25.00
$25.00
$25.00
$25.00
$40.00 (2-week camp)
$25.00
$25.00
$25.00
$25.00
THIS ENTIRE FORM AND PAYMENT MUST BE MAILED TO:
Kansas City, MO 64184
Box 843610
ISD CAMPS
MAKE CHECK OR MONEY ORDER PAYABLE TO INDEPENDENCE SCHOOL DISTRICT. PLEASE DO NOT SEND CASH-NO REFUNDS ONCE CAMP BEGINS
TOTAL
CHECK WHICH CAMP(S) (GRADE in 2011-2012)
CAMP(S) TO ATTEND
COST
Cell Number________________________
Parent/Guardian Name____________________________________________ Home Telephone Number_________________
Preferred e-mail address___________________________________________
Grade in 2011-2012__________________
Student Name___________________________________________________ T-Shirt Size (ADULT) SM MED L XL XXL
ONLY ONE STUDENT NAME ON THIS FORM—THIS FORM MAY BE REPRODUCED
TRUMAN HIGH SCHOOL 2011 SUMMER CAMP ENROLLMENT FORM
TRUMAN
HIGH SCHOOL
ATHLETIC SUMMER CAMPS
ELEMENTARY - MIDDLE SCHOOL HIGH SCHOOL
Summer 2011
Eric Holm, Activities Director Phone: 521-5350
Camp schedule is located on the inside of this brochure