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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

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