REGISTRATION FORM
One form
per child, but the
form may be used for multiple camp selections
MAKE CHECKS PAYABLE TO: BAY SHORE ATHLETICS
SEND REGISTRATION AND PAYMENT
TO: P.O.
Name (Last, First):
_________________ Home Phone:
___________________
Address:
___________________________ Town/Zip:
_____________________
Emergency # - 1:
____________________ Emergency # -2:
__________________
Grade as of Sept. 08: _____
Parent/Guardian Name(s): _______________________
PLEASE CHECK
|
July 21-25 |
|
$100 |
BOYS’ SOCCER August 11-August 15 |
|
$100 |
|
GIRLS’ FIELD HOCKEY June 30-July 3 |
|
$100 |
BOYS’ LACROSSE July 15-July 18 |
|
$100 |
|
GIRLS’ SOFTBALL June 30-July 3 |
|
$100 |
BOYS’ FOOTBALL July 21-24 |
|
$100 |
|
GIRLS’ TENNIS Session I: August 11-15 |
|
$100 |
BOYS’ WRESTLING July 7-July 11 |
|
$100 |
|
GIRLS’ TENNIS Session II: August 18-22 |
|
$100 |
BOYS’ BASKETBALL Session I: August 11-15 |
|
$100 |
|
GIRLS’ VOLLEYBALL August 4-8 |
|
$100 |
BOYS’ BASKETBALL Session II: August 18-22 |
|
$100 |
|
BOYS’ & GIRLS’ TRACK July 14-18 |
|
$100 |
BOYS’BASEBALL August 11-15 |
|
$150 |
REFUND POLICY: No refunds will be issued
Medical Restrictions: NO_____ YES_____
(Explain on separate sheet)
Medical Disclaimer: My son/daughter is in good health and has my full
permission to participate in a vigorous camp program. He/she has no previous illness or bodily
injury that is contradictory to participation.
In the event I cannot be reached, I give my full permission for such
medical procedures deemed necessary by an examining physician.
_______________________________________ ___________
Parent/Guardian Signature