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.
WESTERN MENNONITE SCHOOL 2018 PIONEER SPORTS CAMPS
FUNDAMENTALS
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.
PERSONALIZED COACHING
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.
RESPECT
SPORTS CAMPS
SKILL WORK
Summer 2018
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
TEAM WORK ATTITUDE
TOGETHER! FALL SPORTS INFO All physicals must be competed by Aug. 13th! Physicals can be turned in to Sheila. OSAA Moratorium Week: July 22-28 No contact between coaches and players.
Family Physician
Physician’s Phone
First day of HS Fall Sports practice will be August 13th.
Faith-Infused Athletic Training 8 different camps for students of all ages
Basketball
Soccer
Camp #1..................................................... $50 Middle School Boys & Girls Coaches: Gary Hull & Guest Coach Grades: 4-8 Time: 1:00– 3:30 p.m. Date: June 11-12 (2 Days)
Camp #6 ........................................................... $45
Camp #2................................................... $100 Middle School Boys & Girls Coaches: Gary Hull & Guest Coach Grades: 4-8 Time: 9:30 a.m. - 12:00 p.m. Date: June 18-21 (4 Days)
Camp #7 ........................................................... $85
Camp #3................................................... $100 High School Boys & Girls Coaches: Gary Hull & Guest Coach Grades: 9-12 Time: 1:00 - 3:00 p.m. Date: June 18-21 (4 Days) Camp #4................................................... $125 Boys & Girls Tutorials Coach: Gary Hull Grades: 2-12 (3 students per group) Time: Five 1-hour sessions Date: By appointment
Baseball/Softball Camp #5................................................... $100 Hitting & Fielding Instruction (Separate Camps) Coach: Sean/Dave Chambers & Courtney Harris Grades: 5-12 Time: 9:00 a.m. - 12:00 noon Date: July 30-August 2 (4 days)
* 2018-2019 School year grade Call Sheila at 503-363-2000 for more information. Email: sfahndrich@westernmennoniteschool.org
Elementary Boys and Girls Coach: Guest Coach Grades: K-4 Time: 10:30 - 11:45 a.m. Date: August 6-9 (4 Days) Middle School Boys & Girls Coach: Guest Coach Grades: 5-8 Time: 3:30 - 5:30 p.m. Date: August 6-9 (4 Days) Camp #8 ......................................................... $100
High School Boys & Girls Coach: BV/GV Coaches Grades: 9-12 Time: 5:30 - 8:00 p.m. Date: August 6-9 (4 days)
Volleyball Camp #9 .................................................. $85 Middle School Girls Coach: Katie Ahlstrom Grades: 5-8 Time: 3:30-5:30 p.m. Date: August 6-9 (4 days) Camp #10 .............................................. $120 High School Girls Coach: Katie Ahlstrom Grades: 9-12 Time: 5:30 - 8:00 p.m. Date: August 6-10 (5 Days)
WMS SPORTS CAMP REGISTRATION Athlete’s Name: Parent/Guardian: Address: City:
State:
Phone:
Cell:
Zip:
Email: Grade 2017-2018 School Year: T-SHIRT FREE if registration is received 1 week prior to camp. After that, shirts can be purchased for $10.
Youth ❑ YS
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Adult ❑ XS
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BASKETBALL Camp #1..................................... $50 Camp #2................................... $100 Camp #3................................... $100 Camp #4................................... $125
BASEBALL/SOFTBALL ❑ Camp #5................................... $100 SOCCER ❑ Camp #6..................................... $45 ❑ Camp #7..................................... $85 ❑ Camp #8................................... $100 VOLLEYBALL ❑ Camp #9..................................... $85 ❑ Camp #10................................. $120 TOTAL ENCLOSED $______ $25 DEPOSIT REQUIRED TO RESERVE SPOT
FUNDAMENTAL SKILLS TRAINING PERSONALIZED COACHING BUILDING CHARACTER BUILDING TEAMWORK DEVELOPING A LOVE FOR THE GAME
Send to: WESTERN MENNONITE SCHOOL SUMMER CAMPS 9045 WALLACE RD NW SALEM, OR 97304
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