BASKETBALL
BASEBALL/SOFTBALL
Camp #1 ........................................................... $100 Middle School Boys & Girls Grades*: 5-8 (4 days) Time: 9:30 a.m.-12:30 p.m. Date: June 18-21
Camp #6 ........................................................... $90 Baseball: Hitting & Fielding Instruction Grades*: 5-12 (4 days) Time: 9:00 a.m. - 12:00 noon Date: August 5-8
Camp #2 ............................................................. $75 High School Boys & Girls Grades*: 9-12 (4 days) Time: 1:00-3:00p.m. Date: June 18-21
Camp #7 ........................................................... $90 Softball: Hitting & Fielding Instruction Grades*: 5-12 (4 days) Time: 9:00 a.m. - 12:00 noon Date: August 5-8
Camp #3 ............................................................. $75 Elementary Boys & Girls Grades*: 2-4 (4 days) Time: 1:00-2:30 p.m. Date: June 24-27
SOCCER
Camp #4 ........................................................... $100 Middle School Boys & Girls Grades*: 5-8 (4days) Time: 9:30 a.m.-12:30 p.m. Date: June 24-27 Camp #5 ........................................................... $125 Boys & Girls Tutorials Grades*: 2-12 (3 students per group) Time: Five 1-hour sessions Date: By appointment
OSAA Moratorium Week: July 28-August 3 No contact between coaches and players.
FUNDAMENTAL SKILLS TRAINING PERSONALIZED COACHING BUILDING CHARACTER BUILDING TEAMWORK DEVELOPING A LOVE FOR THE GAME Call Sheila at 503-363-2000 for information. Email: sfahndrich@westernmennoniteschool.org
Camp #8 ........................................................... $35 Elementary Boys and Girls Grades*: K-4 (4 days) Time: 10:30 - 11:45 a.m. Date: August 12-15
WMS SPORTS CAMP REGISTRATION ATHLETE’S NAME: PARENT/GUARDIAN: ADDRESS: CITY:
STATE:
PHONE:
CELL:
EMAIL: GRADE 2013-2014 SCHOOL YEAR: T-SHIRT SIZE: (Free if registration is received 1 week prior to camp. After that, shirts can be purchased for $10 each.) YOUTH ADULT ❑ ❑ ❑ ❑ ❑
Camp #9 ........................................................... $85 Middle School Boys & Girls Grades*: 5-8 (4 days) Time: 4:00 - 6:00 p.m. Date: August 12-15
❑ YM
❑ YL
❑ XS
❑S
❑M
❑L
❑ XL
BASKETBALL CAMP #1 .................................... $100 CAMP #2 ...................................... $75 CAMP #3 ...................................... $75 CAMP #4 .................................... $100 CAMP #5 .................................... $125
SOCCER ❑ CAMP #8 ...................................... $35 ❑ CAMP #9 ...................................... $85 ❑ CAMP #10 .................................... $90
VOLLEYBALL
VOLLEYBALL ❑ CAMP #11 .................................... $85 ❑ CAMP #12 .................................. $100
Camp #11 ......................................................... $85 Middle School Girls Grades*: 5-8 (4 days) Time: 5:00 - 7:00 p.m. Date: August 12-15
TOTAL ENCLOSED $_____ 4/15
* 2013—2014 SCHOOL YEAR GRADE
❑ YS
BASEBALL/SOFTBALL ❑ CAMP #6 ...................................... $90 ❑ CAMP #7 ...................................... $90
Camp #10 ......................................................... $90 High School Boys & Girls Grades*: 9-12 (4 days) Time: 5:30 - 8:00 p.m. Date: August 12-15
Camp #12 ....................................................... $100 High School Girls Grades*: 9-12 (4 days) Time: 4:00 - 8:00 p.m. Date: August 12-15
ZIP:
$25 DEPOSIT REQUIRED TO RESERVE SPOT
SEND TO: WESTERN MENNONITE SCHOOL SUMMER CAMPS 9045 WALLACE RD NW SALEM, OR 97304
Read this agreement carefully and sign below:
2. I agree that neither I, nor my child, will bring any claims of any kind against Western Mennonite School or camp instructors as a result of any injuries, expenses or damages that I or my child may suffer in connection with my child’s participation in the camp, whether such claims are known or unknown or arise in the future. 3. I agree that Western Mennonite School retains the rights to use photos taken of campers at the camp for advertising and publicity purposes only. 4. I understand that no one associated with the camp is authorized to alter, modify or waive any of the terms of this agreement in any way.
Parent/Guardian
Signature
Date
Medical Insurance Company
Family Physician
Physician’s Phone
SUMMER CAMP DIRECTOR: GARY HULL WESTERN MENNONITE SCHOOL 9045 WALLACE RD NW SALEM, OR 97304
1. I authorize all medical, surgical, diagnostic and hospital procedures as may be performed or prescribed by a treating physician for my child, if I cannot be reached in an emergency.
3 201 ER NE S PIO C A MP R TS SPO
Medical Care Consent and Release of Liability