Page 1

Acknowledgment of risk and assumption of personal responsibility: I understand that during my participation in Maple Leafs Sports Camp I will be exposed to above-normal risk. I understand, too, that although Goshen College and sports camp personnel will take precautions to provide a safe environment, it is impossible to guarantee absolute safety. Also, I understand that I share responsibility for safety in the camp setting, and I assume that responsibility. I agree to verify with my physician that I have no physical or psychological problem that would prohibit participation in Maple Leafs Sports Camp. I agree to comply with the instructions and directions of all camp directors and supervisors. In the event of a medical emergency in which I cannot be reached, I authorize Goshen College and camp personnel to make appropriate medical decisions to ensure the best medical outcome for my child.

MAPLE LEAFS

SPRING BREAK

I have read the above statement and understand the nature of the physical demands of this activity. I therefore release any and all rights or claims for damages against Goshen College and camp personnel.

SPORTS CAMP

Parent/guardian signature:

___________________________ Print Name

____________________________ Signature

___________________________ Date

April 2-5, 2012 FOR MORE INFORMATION CONTACT: Goshen College Athletics 1700 S. Main St. Goshen, IN 574-535-7491 tdemant@goshen.edu

at GOSHEN COLLEGE


MAPLE LEAFS

SPRING BREAK SPORTS CAMP at GOSHEN COLLEGE

WHEN:

April 2-5, 2012

WHO:

Boys and Girls 2nd-5th grades

WHERE:

Goshen College Gym

WHY:

Fun, skill development and exercise

COST:

$89 ($69 for additional siblings)

TIME:

9am-3pm daily (lunch from 12:00-12:30pm. Bring your own lunch)

CAMP INCLUDES:    

Camp T-Shirt Individual Instruction Guest coaches Lots of FUN

MULTI-SPORT FORMAT This camp will use a multi-sport format, in which campers can choose from a number of different sports to play and learn. Campers are encouraged to select sports they enjoy as well as those they may be interested in learning about.

CAMP REGISTRATION FORM Name___________________________________________ Age __________

Male □

Female □

Address _________________________________________ City ________________ State _______ ZIP code ________

Potential Sports (Please select at least 3 sports)

Phone___________________________________________

_____Baseball/Softball _____Basketball _____Gym games (dodge ball, tag , etc.) _____Kick ball _____Racquetball _____Rock Climbing _____Running (Track) _____Soccer _____Swimming _____Tennis _____Volleyball _____ Wii Fitness

Email address:____________________________________

Note: Selection of a sport does not guarantee enrollment, since availability of sports may be determined by number of participants interested. Campers may be placed in sports to create balanced numbers.

________________________________________________

COACHES Campers will be coached by current Goshen College coaches and student athletes, focusing on skill development and having fun.

Current grade ______ Date of birth ___________________ T-shirt size: □ Youth M □ Youth L □ Adult S □ Adult M

□ Adult L

□ Adult XL

Emergency Contact:_______________________________ Phone number:___________________________________ Medical Conditions:________________________________ ________________________________________________

Parent/Guardian Signature:__________________________ Cost: $89 per camper $89 X ____=$______ $69 for each additional sibling $69 X ____ =$______ TOTAL=$______ Mail completed registration and check to:

Goshen College Sports Camp 1700 S. Main St. Goshen, IN 46526 ***See back for liability waiver

Spring Break Camp 2012  

Spring Break Camp 2012

Read more
Read more
Similar to
Popular now
Just for you