CAMPER INFORMATION
NAME: ______________________________________
ADDRESS: ____________________________________
___________________________________________
HOME #: _____________________________________
MALE: ______ FEMALE: ______ AGE: _______
Health Concerns: ______________________________
T-SHIRT SIZE:
ADULT:
S
M
L
XL
YOUTH:
S
M
L
XL
PARENT/GUARDIAN:
NAME:__________________________________________
WORK #: ________________________________________
ALTERNATE EMERGENCY CONTACT & #
NAME: ________________________________________________
PHONE #: _____________________________________________
CONSENT FORM
I wish my child to participate in the camp unless I advise you in writing. I
agree that having taken such precautions as in your discretion are deemed
advisable; you shall not be held responsible for any sickness or accident to
my child. Parents are therefore reminded to see that their son/daughter is
covered under one of their own Sickness & Accident Insurance Plans
available at minimum cost throughout the year. If for any reason my child
requires medical attention beyond that furnished by the camp I agree to be
responsible for any expenses incurred.
SIGNATURE: ________________________________________________
DATE: ____________________________________________________
FELLOWES SPORTS
CAMP
REGISTRATION OPTIONS:
S
1. Mail orPDeliver form &
payment to:
O
R School, 420 Bell
Fellowes High
Street, Pembroke,
ONTARIO,
S
5th Annual
FELLOWES
Sports Camp
2015
K8A 2K5.
2. e-mail:
[email protected]
Make cheques payable to:
Fellowes High School
COST: $145
REGISTRATION DEADLINE:
($130 for each additional family
member)
by mail
or e-mail is
Includes: T-shirt and Prizes
FRIDAY, JUNE 5th
FREE PIZZA Friday!
LIMITED ENROLLMENT!
BOYS & GIRLS
AGES 7-14
(Entering Grades 3 -8)
FELLOWES SPORTS CAMP OBJECTIVE:
This sports camp will provide your child with a
variety of opportunities to enhance their basic
skills & fundamentals. Participants will
develop sportsmanship, offensive and
defensive skills as well as learning the rules of
various sports.
SPORTS INCLUDE:
Basketball, Volleyball,
Soccer, Floor Hockey,
Beach Volleyball, Track &
Field, Lacrosse,
Gymnastics, Wrestling, Fun
Games, Team Building
Activities & more
Instruction will be provided by quality
coaching staff and qualified Phys-Ed
teachers
FELLOWES
Sports Camp
ONE WEEK ONLY!
WHEN:
ATTENTION PARENTS!
Due to construction, we must use
the first week of July. Next year,
we plan to run two weeks so stay
tuned!
Monday – Friday, June 29th–July 3rd
9:00 am – 4:00 pm
5th Annual
Fellowes Sports Camp
WHERE:
Cafeteria entrance@ Fellowes High
School, 420 Bell St. Pembroke
Children participating in the camp
will require: Indoor shoes, outdoor
shoes, lots of snacks, lunch, water
bottle, hat & sunscreen
9:00am-4:00pm (8:30am drop off)
7 to 14 year olds!
(Entering Grades 3 – 8 or
Born 2007 or earlier)
For more information call:
Pat Childerhose at
613-401-9887 or 613-735-6858 ext: 350
[email protected]
Fellowes Sports Camp Coordinators
would like to thank all of our volunteers.
We could not do this without you!