REGISTRATION FORM GIRLS BASKETBALLs3.amazonaws.com/vnn-aws-sites/100/files/2013/05/8... ·...

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I hereby acknowledge that participation in any summer camps and related activities is at the sole discretion and judgment of the parent or guardian and involves an inherent risk of physical injury. I, on behalf of my son/daughter, hereby assume all such risk. I hereby release and agree to hold harm- less Tecumseh Publics School, its Athletic Department, and the coaches, from all claims, actions, damages, and liabilities for personal injury or damage relating to or arising out of any summer camp activity. Tecumseh Athletics and Tecumseh Public Schools are not responsible for lost or stolen property. Parent Signature Date REGISTRATION FORM Mail this form with payment made payable to Te- cumseh Athletics, Attn: Summer Camp, 760 Brown St., Tecumseh, MI 49286 Camper Name: ____________________________ Age:_________ Grade Fall ‘16 __________ Camper School: ___________________________ Shirt Size (circle one) YSM YMD YLG ASM AMD ALG AXL Parent Name: _____________________________ Cell Phone: _______________________________ Email: ___________________________________ Camp Fee Track & Cross Country $30.00 Baseball $35.00 Football $45.00 Soccer $50.00 Volleyball $40.00 Girls Basketball $45.00 Basketball $55.00 Bowling $50.00 Cheer $50.00 Gymnastics $60.00 Wrestling $50.00 Girls Lacrosse $30.00 Swim & Dive $45.00 Total for Camps ___________ Payment: Check#________Cash________ Credit Cards only accepted online Dates: June 13th, 20th, & 27th Times: 6:30-8:30pm Ages: K-8th Grade Location: Ten Pin Bowling Alley Fee: $50.00 Coach: Ken Richard, [email protected] BOWLING Dates: June 7th-9th Times: 5:30-7:30pm Location: THS Wrestling Room Ages: K-8th Grade Fee: $50.00 Equipment needed: T-shirt & shorts Coach: A.J. Marry, [email protected] WRESTLING Dates: July 11th-14th Times: 10:00am-12:00pm Ages: 4-14 years Location: TPS Admin Building (212 N. Ottawa) Fee: $60.00 Equipment needed: Water bottle & comfortable clothes Coach: Jen Posten, [email protected] GYMNASTICS Dates: June 13th-17th Times: (3/5) 8:00-10:00am, (6/8) 10:00am-12:00pm Ages: 3rd-5th Grade & 6th-8th Grade Location: Tecumseh High School Gym Fee: $55.00 Equipment needed: Wear t-shirt & shorts, bring water bottle Coach: TBD BASKETBALL Dates: June 7th-9th Times: 4:00-6:00pm, transportation provided by First Student from the elementary/middle school to the high school Ages: K-8th Grade Location: Tecumseh High School Gym Fee: $45.00 Equipment needed: Wear t-shirt & shorts, bring water bottle Coach: Griff Mills, [email protected] GIRLS BASKETBALL

Transcript of REGISTRATION FORM GIRLS BASKETBALLs3.amazonaws.com/vnn-aws-sites/100/files/2013/05/8... ·...

Page 1: REGISTRATION FORM GIRLS BASKETBALLs3.amazonaws.com/vnn-aws-sites/100/files/2013/05/8... · Location: Indian Stadium Fee: $30.00 Equipment needed: Water bottle & running clothes Coach:

I hereby acknowledge that participation in any summer camps and related activities is at the sole discretion and

judgment of the parent or guardian and involves an inherent risk of physical injury. I, on behalf of my son/daughter, hereby assume all such risk. I hereby release and agree to hold harm-

less Tecumseh Publics School, its Athletic Department, and the coaches, from all claims, actions, damages, and liabilities

for personal injury or damage relating to or arising out of any summer camp activity. Tecumseh Athletics and Tecumseh

Public Schools are not responsible for lost or stolen property.

Parent Signature Date

REGISTRATION FORMMail this form with payment made payable to Te-

cumseh Athletics, Attn: Summer Camp, 760 Brown St., Tecumseh, MI 49286

Camper Name: ____________________________Age:_________ Grade Fall ‘16 __________Camper School: ___________________________Shirt Size (circle one)YSM YMD YLG ASM AMD ALG AXLParent Name: _____________________________Cell Phone: _______________________________Email: ___________________________________

Camp FeeTrack & Cross Country $30.00Baseball $35.00Football $45.00Soccer $50.00Volleyball $40.00Girls Basketball $45.00Basketball $55.00Bowling $50.00Cheer $50.00Gymnastics $60.00Wrestling $50.00Girls Lacrosse $30.00Swim & Dive $45.00

Total for Camps ___________Payment: Check#________Cash________

Credit Cards only accepted online

Dates: June 13th, 20th, & 27thTimes: 6:30-8:30pmAges: K-8th GradeLocation: Ten Pin Bowling AlleyFee: $50.00Coach: Ken Richard, [email protected]

BOWLING

Dates: June 7th-9thTimes: 5:30-7:30pmLocation: THS Wrestling RoomAges: K-8th GradeFee: $50.00Equipment needed: T-shirt & shortsCoach: A.J. Marry, [email protected]

WRESTLING

Dates: July 11th-14thTimes: 10:00am-12:00pmAges: 4-14 yearsLocation: TPS Admin Building (212 N. Ottawa)Fee: $60.00Equipment needed: Water bottle & comfortable clothesCoach: Jen Posten, [email protected]

GYMNASTICS

Dates: June 13th-17thTimes: (3/5) 8:00-10:00am, (6/8) 10:00am-12:00pmAges: 3rd-5th Grade & 6th-8th GradeLocation: Tecumseh High School GymFee: $55.00Equipment needed: Wear t-shirt & shorts, bring water bottle Coach: TBD

BASKETBALL

Dates: June 7th-9thTimes: 4:00-6:00pm, transportation provided by First Student from the elementary/middle school to the high schoolAges: K-8th GradeLocation: Tecumseh High School GymFee: $45.00Equipment needed: Wear t-shirt & shorts, bring water bottle Coach: Griff Mills, [email protected]

GIRLS BASKETBALL

Page 2: REGISTRATION FORM GIRLS BASKETBALLs3.amazonaws.com/vnn-aws-sites/100/files/2013/05/8... · Location: Indian Stadium Fee: $30.00 Equipment needed: Water bottle & running clothes Coach:

Dates: June 21st & 23rdTimes: 5:00-7:00pmAges: 8 years and upLocation: Indian StadiumFee: $30.00Equipment needed: Water bottle & running clothesCoach: Wes Harden, [email protected] or Jill Stockford, [email protected]

TRACK & CROSS COUNTRY

FOOTBALLDates: June 28th-June 30thTimes: 6:00-8:00pmAges: 3rd-8th GradeLocation: Indian StadiumFee: $45.00Equipment needed: T-shirt, shorts, & cleatsCoach: Greg Dolson, [email protected]

SOCCERDates: June 20th-22ndAges: 3rd-6th Grade & 7th-8th GradeTimes: (3/6) 5:30-7:00pm, (7/8) 6:00-8:00pmLocation: Indian StadiumFee: $50.00Equipment needed: Water bottle & shin guardsCoach: Jerry Nowak, [email protected]

Dates: July 25th-27thTimes: 6:00-8:00pmAges: 3rd-6th GradeLocation: Tecumseh High School CafetoriumFee: $50.00Equipment needed: Shoes and comfortable clothesCoach: Lindsey Hemovich, [email protected]

CHEER

Dates: June 20th-22ndTimes: 10:00am-12:00pmAges: K-6th GradeLocation: Indian StadiumFee: $35.00Equipment provided/needed: bring a baseball glove, bat, and helmet. Helmets and bats will be provided if you don’t have your own.Coach: Tom Bullinger, [email protected]

BASEBALL Dates: June 22nd-24thTimes: 9:30am-11:30amAges: 3rd-8th GradeLocation: Indian StadiumFee: $30.00Equipment provided/needed: Bring your ownLacrosse stick (goggles & sticks can be provided) Coach: Lindsey Day, [email protected]

GIRLS LACROSSE

Dates: June 14th-16thTimes: 11:00am-1:00pmAges: 3rd-8th GradeLocation: Tecumseh Middle School GymFee: $40.00Equipment needed: Wear t-shirt and shortsCoach: Kim Foley, [email protected]

VOLLEYBALL

For more info on any of the Athletic programs visit;www.tecumsehathletics.com

or contact Jen Posten, [email protected] 517-423-3651

Youth Summer Golf opportunities can be found online; http://lenaweeju-niorgolf.wix.com/tour

as well as camp run through Hantz Golf Club. For more info contact Coaches; Kerry Smith, [email protected] and Kevin Osworth, jklm.

[email protected]

SWIM & DIVEDates: June 4th, 11th, & 18thAges: 1st-8th GradeTimes: 10:00am-12:00pmLocation: Tecumseh Middle School PoolFee: $45.00Equipment needed: SwimsuitCoach: Deb Followell, [email protected]