BASKETBALL
BASEBALL/SOFTBALL
Camp #1 ............................................................. $75 Middle School Boys & Girls Grades*: 5-8 (3 days) Time: 9:30 a.m.-12:00 p.m. Date: June 15-17
Camp #6 ........................................................... $90 Baseball: Hitting & Fielding Instruction Grades*: 5-12 (4 days) Time: 9:00 a.m. - 12:00 noon Date: August 10-13 (new dates)
Camp #2 ............................................................. $60 High School Boys & Girls Grades*: 9-12 (3 days) Time: 1:00-3:00p.m. Date: June 15-17
Camp #7 ........................................................... $90 Softball: Hitting & Fielding Instruction Grades*: 5-12 (4 days) Time: 9:00 a.m. - 12:00 noon Date: August 3-6
Camp #3 ............................................................. $60 Elementary Boys & Girls Grades*: 2-4 (3 days) Time: 1:00-2:30 p.m. Date: June 22-24
SOCCER
Camp #4 ............................................................. $75 Middle School Boys & Girls Grades*: 5-8 (3 days) Time: 9:30 a.m.-12:00 p.m. Date: June 22-24 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 26-August 1 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
led Cancel
Camp #8 ........................................................... $35 Elementary Boys and Girls Grades*: K-4 (4 days) Time: 10:30 - 11:45 a.m. Date: August 10-13
WMS SPORTS CAMP REGISTRATION ATHLETE’S NAME: PARENT/GUARDIAN: ADDRESS: CITY:
STATE:
PHONE:
CELL:
EMAIL: GRADE 2015-2016 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 ........................................................... $75 Middle School Boys & Girls Grades*: 5-8 (4 days) Time: 4:00 - 6:00 p.m. Date: August 10-13
❑ YM
❑ YL
❑ XS
❑S
❑M
❑L
❑ XL
BASKETBALL CAMP #1 ...................................... $75 CAMP #2 ...................................... $60 CAMP #3 ...................................... $60 CAMP #4 ...................................... $75 CAMP #5 .................................... $125
SOCCER ❑ CAMP #8 ...................................... $35 ❑ CAMP #9 ...................................... $75 ❑ CAMP #10 .................................... $90
VOLLEYBALL
VOLLEYBALL ❑ CAMP #11 .................................... $75 ❑ CAMP #12 .................................... $90
Camp #11 ......................................................... $75 Youth Girls Grades*: 3-8 (4 days) Time: 9:00 - 11:00 a.m. Date: August 10-13
TOTAL ENCLOSED $_____ 7/7
* 2015-2016 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 10-13
Camp #12 ......................................................... $90 High School Girls Grades*: 9-12 (4 days) Time: 1:00 - 4:00 p.m. Date: August 10-13
ZIP:
$25 DEPOSIT REQUIRED TO RESERVE SPOT
SEND TO: WESTERN MENNONITE SCHOOL SUMMER CAMPS 9045 WALLACE RD NW SALEM, OR 97304
Medical Care Consent and Release of Liability Read this agreement carefully and sign below: 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.
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.
Summer Camp Director: Gary Hull
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.
Western Mennonite School 9045 Wallace Rd NW Salem, OR 97304
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.
Parent/Guardian
Signature
Date
Medical Insurance Company
Family Physician
www.WesternMennoniteSchool.org Physician’s Phone
503.363.2000