Presented by:
Individual Skills Development
Play The Lanes • Select The Right Equipment • Shoot Spares
Customized Video Analysis • Team Building Concepts
REGISTER ONLINE AT IMSBOWLING.ORG OR CALL 260-403-0822
Final day of registration is May 30th, 2015
INDIANA
MINICAMP &
TOURNAMENT
PAYMENT METHOD
Charge to
Visa
Master Card
AMEX
Discover
What
Classroom info and on-lane drills
Polish your individual skills to improve
your team
Everyone will receive a video of their
game, before and after
Get prepared for the High School
Bowling experience!
Who
All Indiana Middle School Bowlers
When
June 5th - June 7th, 2015
Check in at Anderson University on
June 5th, 2015 (5 - 7 pm)
Where
Bowling - Cooper’s Sport Bowl
1920 East 53rd Street
Anderson, IN 46013
Housing - Anderson University
1100 East 5th Street
Anderson, IN 46012
Ages
5th - 8th grades in the
2015 - 2016 School Year
Cost
$249 includes housing and meals
$199 if paid by May 20th, 2015
Card # Expiration Date
Security Code Signature If paying by credit card, the full amount will be charged.
Please mail checks payable to:
IMSBOWLING
P.O. Box 66
Camby, Indiana 46113
Camp registration is not valid until payment has been successfully processed.
CAMPER’S NAME MAILING ADDRESS CITY
ST
GRADE ENTERING AS OF FALL 2015
DOB
-
-
GENDER
USBC CERTIFICATION # (required) Male or Female
T-SHIRT SIZE S M L XL XXL
3XL 4XL 5XL
CAMPER’S CURRENT 2014/2015 USBC AVERAGE
PARENT’S NAME RELATIONSHIP TO CAMPER
PARENT’S EMAIL (required) ZIP PARENT’S PHONE PLEASE FILL OUT ALL AREAS AND MAKE SURE
WRITING IS LEGIBLE. FAILURE TO DO SO
WILL DELAY YOUR REGISTRATION!
IMPORTANT - DRESS CODE: Nice jeans, slacks, fingertip
skirts or shorts are acceptable. No frayed jeans or jeans
with holes. No sleeveless shirts or tank tops. No clothing
depicting foul language or gestures, tobacco or alcohol
products. Head gear (caps or hats, etc.) is not allowed while
bowling. Use of electronic devices during tournament play
is forbidden.
PARENT / GUARDIAN CONSENT AND RELEASE
All campers must have their own medical coverage. The Camp provides only excess coverage (does not apply to deductibles) after your insurance policy has been utilized. Campers will not be allowed to participate unless
the parent or guardian of the camper accepts the terms and conditions of the Indiana Bowling Centers Association and Indiana High School Bowling Release Statement below. Please disclose any medical concerns.
Indiana Bowling Centers Association RELEASE STATEMENT
I (We) the undersigned hereby certify that I (we) am (are) the parent(s) or legal guardian(s) of the camper. I (We) hereby give permission for the staff of the Camp to seek appropriate medical attention for the camper
and for the medical attention to be given and for the camper to receive medical attention in the event of an accident, injury or illness. I (we) will be responsible for any and all cost of medical attention and treatment,
except for that covered by the Camp’s excess medical coverage policy. I (We) the undersigned for ourselves, or heirs, executors and administrators waive, release and forever discharge Indiana Bowling Centers Association
and Indiana High School Bowling Program and its staff, officers, agents, employees, representatives and successors and assign of and for all rights and claims for damages, injury or loss to person or property which may be
sustained or occur during participation in Camp activities or while at Camp, whether or not damages, injury or loss is due to negligence. I (We) hereby acknowledge that our child is physically fit and mentally capable of
participation in bowling camp activities.
I (We) accept the terms and conditions of the Indiana Bowling Centers Association and Indiana Middle School Bowling Program Release Statement above.
Parent Signature REGISTER ONLINE AT IMSBOWLING.ORG OR CALL 260-403-0822