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The Desert Reign Sports & Nutrition Camp is just around the corner for
Summer break. The Desert Reign Sports & Nutrition Camp stresses FUN and
TEAMWORK! Campers will receive individual instruction each day during the sports
stations. Your child/children will improve their sports fundamentals and learn how to live a
healthy and active lifestyle.
Sign-up today! The Desert Reign Sports & Nutrition Camp will take place this Summer
at Evelyn Stuckey Elementary School - 4905 Chartan Ave Las Vegas, NV 89141. The 2
Sessions will be held Monday through Thursday, June 8th – June 18th.
Camp will run from 9:00am-12:00pm daily, with the first day of each session starting at
8:30am for sign-in.
www.DESERTREIGNFOUNDATION.ORG
(702) 985-5255
For more information:
@DesertReignInc
Please visit www.DesertReignFoundation.org or call (702) 985-5255
Email questions to: [email protected]
Register & Pay for camp online at www.DesertReignFoundation.org
REGISTRATION FORM
Please Print
Name:
City:
Phone:
Birthday:
School:
Email address:
Ethnicity (check those that apply):
□American Indian/Alaska
Address:
Age
□White
□ African American
□Hawaiian/Pacific Islander □Other:
ST: NV Zip
Circle: Male or Female
Height:
Weight:
Grade (Fall 2015):
□Hispanic
□Asian
T-Shirt Size: (Please Mark One)
□Youth Small □Youth Medium □Youth Large □Youth XLarge □Youth XXLarge
□Adult Small □ Adult Medium □ Adult Large □ Adult XLarge □ Adult XXLarge
Session Cost: $39.00
□ Session I: June 8th – June 11th
□ Session II: June 15th – June 18th
Please make Cashiers Check or Money Order payable to Desert Reign Inc, if applicable. Desert Reign, Inc will NO LONGER ACCEPT
PERSONAL CHECKS, sorry for the inconvenience.
Parent/Guardian Information:
Father’s Name:
Phone:
Mother’s Name:
Phone:
Emergency Contact:
Phone:
Any Medical Conditions? Explain: ___________________________________________________________________________________________
________________________________________________________________________________________________________________________
I hereby authorize the directors of the Desert Reign Sports and Nutrition Camp to act for me according to their best judgment in any emergency requiring medical
attention and I hereby release, exonerate and discharge Desert Reign, Inc, Desert Reign Foundation, the camp and its employees from any and all actions or cause of
actions known or unknown for any injuries incurred while at camp or on the way to camp.
PARENT OR LEGAL GUARDIAN Signature: ________________________________________________ Date: __________________________