2015 SUMMER SPORTS CAMPS
2015 SUMMER SPORTS CAMPS FITNESS, SPEED & AGILITY CAMP June 22—25
BOYS FOOTBALL CAMP July 6—9
GIRLS VOLLEYBALL CAMP July 6—9
BOYS & GIRLS BASKETBALL CAMP July 13-16 For students entering 1st-12th Grade in the Fall of 2015 For NCA and non-NCA Students
Cost: $100 Receive a $20 discount for bringing a non-NCA student Northeast Christian Academy
1711 Hamblen Rd Kingwood TX 281.359-1090
www.nca-kingwood.org
Registration Form Name: __________________________________
PARENT’S RELEASE AND INDEMNITY AGREEMENT
Parent Name: _____________________________ Address: _________________________________ City/Zip: _________________________________ Email: ___________________________________ Phone: __________________________________ Grade & School in Fall 2015: _________________ _________________________________________ Do you have accident insurance? _____Y _____N Policy Name and #: _________________________ __________________________________________ Each camper will receive a camp t–shirt Please circle one: Youth
S
M
L
Adult
S
M
L
XL
Cost: $100 (cash or check). If you bring a nonNCA student, your cost is $80.
To: NCA Fitness, Speed & Agility Camp We, (or I), hereby request that you accept the application for the enrollment of: _______________________________________ _______________________________________ (players name) In the 2015 NCA Fitness, Speed & Agility Camp on the dates set forth in this application, and in consideration of your acceptance, we (or I) hereby release the Northeast Christian Academy Fitness, Speed & Agility Camp and all their employees and agents from all claims on account of any injuries which may be sustained by our (or my) son or daughter while attending the Fitness, Speed & Agility Camp, and its employees and agents for any claim which may be hereafter presented by our (or my) minor son or daughter.
Name of Friend: __________________________
_____________________________________ Parent Signature
Please make checks payable to Northeast Christian Academy
______________________________________ Parent Name Date: __________________________________
Please send registration form, signed release and payment to: Northeast Christian Academy Attn: Pam Wiggins 1711 Hamblen Road Kingwood TX 77339
July 6th—9th For boys entering 1st-12th grade in the Fall of 2015 (for NCA and non-NCA students)
Cost: $100 (bring a non-NCA student and you receive a $20 discount)
1st—5th Grade: 9:00 am—11:30 am 6th—12th Grade: 1:00 pm—3:30 pm Coaches: Kyle Kennedy & Kevin Krueger Location: To Be Announced
Registration Form Name: __________________________________
PARENT’S RELEASE AND INDEMNITY AGREEMENT
Parent Name: _____________________________ Address: _________________________________ City/Zip: _________________________________ Email: ___________________________________ Phone: __________________________________ Grade & School in Fall 2015: _________________ _________________________________________ Do you have accident insurance? _____Y _____N Policy Name and #: _________________________ __________________________________________
Each camper will receive a camp t–shirt Please circle one:
Youth
S
M
L
Adult
S
M
L
XL
Cost: $100 (cash or check). If you bring a nonNCA student, your cost is $80. Name of Friend: ________________________ Please make checks payable to Northeast Christian Academy
Please send registration form, signed release and payment to: Northeast Christian Academy Attn: Pam Wiggins 1711 Hamblen Road Kingwood TX 77339
To: NCA Boys Football Camp We, (or I), hereby request that you accept the application for the enrollment of: _______________________________________ _______________________________________ (players name) In the 2015 NCA Boys Football Camp on the dates set forth in this application, and in consideration of your acceptance, we (or I) hereby release the Northeast Christian Academy Boys Football Camp and all their employees and agents from all claims on account of any injuries which may be sustained by our (or my) son while attending the Football Camp, and its employees and agents for any claim which may be hereafter presented by our (or my) minor son.
_____________________________________ Parent Signature ______________________________________ Parent Name Date: __________________________________
Registration Form Name: __________________________________
PARENT’S RELEASE AND INDEMNITY AGREEMENT
Parent Name: _____________________________ Address: _________________________________ City/Zip: _________________________________ Email: ___________________________________ Phone: __________________________________ Grade & School in Fall 2015: _________________ _________________________________________ Do you have accident insurance? _____Y _____N Policy Name and #: _________________________ __________________________________________
Each camper will receive a camp t–shirt Please circle one:
Youth
S
M
L
Adult
S
M
L
XL
Cost: $100 (cash or check). If you bring a nonNCA student your cost is $80. Name of Friend: _______________________ Please make checks payable to Northeast Christian Academy
Please send registration form, signed release and payment to: Northeast Christian Academy Attn: Pam Wiggins 1711 Hamblen Road Kingwood TX 77339
To: NCA Girls Volleyball Camp We, (or I), hereby request that you accept the application for the enrollment of: _______________________________________ _______________________________________ (players name) In the 2015 NCA Girls Volleyball Camp on the dates set forth in this application, and in consideration of your acceptance, we (or I) hereby release the Northeast Christian Academy Girls Volleyball Camp and all their employees and agents from all claims on account of any injuries which may be sustained by our (or my) daughter while attending the Volleyball Camp, and its employees and agents for any claim which may be hereafter presented by our (or my) minor daughter.
_____________________________________ Parent Signature ______________________________________ Parent Name Date: __________________________________
Northeast Christian Academy 2015 Boys/Girls Basketball Camp
July 13—16 ~ Monday—Thursday For boys and girls entering 1st-12th grade in the Fall of 2015 (for NCA and non-NCA students)
Cost: $100 (bring a non-NCA student and you receive a $20 discount) 1st—5th Grade
6th—12th Grade
9:00 am—11:30 am
1:00—3:30 pm
Hosted by The Basketball F.A.M.,
Fundamentals, Athleticism and Mechanics (www.thebasketballfamily.net.) Coaches: Justin Jackson, Lawrence Paye, Jr. & Sei Paye Location: NCA Gym
Registration Form Name: __________________________________
PARENT’S RELEASE AND INDEMNITY AGREEMENT
Parent Name: _____________________________ Address: _________________________________
To: NCA Boys/Girls Basketball Camp
City/Zip: _________________________________
We, (or I), hereby request that you accept the application for the enrollment of:
Email: ___________________________________ Phone: __________________________________ Grade & School in Fall 2015: _________________ _________________________________________ Do you have accident insurance? _____Y _____N Policy Name and #: _________________________ __________________________________________ Each camper will receive a camp t–shirt Please circle one: Youth
S
M
L
Adult
S
M
L
XL
Cost: $100 (cash or check). If you bring a non-NCA student, your cost is $80. Name of Friend: ____________________________
Please make checks payable to Northeast Christian Academy
Please send registration form, signed release and payment to: Northeast Christian Academy Attn: Pam Wiggins 1711 Hamblen Road Kingwood TX 77339
_______________________________________ _______________________________________ (players name) In the 2015 NCA Boys/Girls Basketball Camp on the dates set forth in this application, and in consideration of your acceptance, we (or I) hereby release the Northeast Christian Academy Boys/ Girls Basketball Camp and all their employees and agents from all claims on account of any injuries which may be sustained by our (or my) son or daughter while attending the Basketball Camp, and its employees and agents for any claim which may be hereafter presented by our (or my) minor son or daughter.
_____________________________________ Parent Signature ______________________________________ Parent Name Date: __________________________________
BOYS FOOTBALL CAMP July 6—9
GIRLS VOLLEYBALL CAMP July 6—9
BOYS & GIRLS BASKETBALL CAMP July 13-16 For students entering 1st-12th Grade in the Fall of 2015 For NCA and non-NCA Students
Cost: $100 Receive a $20 discount for bringing a non-NCA student Northeast Christian Academy
1711 Hamblen Rd Kingwood TX 281.359-1090
www.nca-kingwood.org
Registration Form Name: __________________________________
PARENT’S RELEASE AND INDEMNITY AGREEMENT
Parent Name: _____________________________ Address: _________________________________ City/Zip: _________________________________ Email: ___________________________________ Phone: __________________________________ Grade & School in Fall 2015: _________________ _________________________________________ Do you have accident insurance? _____Y _____N Policy Name and #: _________________________ __________________________________________ Each camper will receive a camp t–shirt Please circle one: Youth
S
M
L
Adult
S
M
L
XL
Cost: $100 (cash or check). If you bring a nonNCA student, your cost is $80.
To: NCA Fitness, Speed & Agility Camp We, (or I), hereby request that you accept the application for the enrollment of: _______________________________________ _______________________________________ (players name) In the 2015 NCA Fitness, Speed & Agility Camp on the dates set forth in this application, and in consideration of your acceptance, we (or I) hereby release the Northeast Christian Academy Fitness, Speed & Agility Camp and all their employees and agents from all claims on account of any injuries which may be sustained by our (or my) son or daughter while attending the Fitness, Speed & Agility Camp, and its employees and agents for any claim which may be hereafter presented by our (or my) minor son or daughter.
Name of Friend: __________________________
_____________________________________ Parent Signature
Please make checks payable to Northeast Christian Academy
______________________________________ Parent Name Date: __________________________________
Please send registration form, signed release and payment to: Northeast Christian Academy Attn: Pam Wiggins 1711 Hamblen Road Kingwood TX 77339
July 6th—9th For boys entering 1st-12th grade in the Fall of 2015 (for NCA and non-NCA students)
Cost: $100 (bring a non-NCA student and you receive a $20 discount)
1st—5th Grade: 9:00 am—11:30 am 6th—12th Grade: 1:00 pm—3:30 pm Coaches: Kyle Kennedy & Kevin Krueger Location: To Be Announced
Registration Form Name: __________________________________
PARENT’S RELEASE AND INDEMNITY AGREEMENT
Parent Name: _____________________________ Address: _________________________________ City/Zip: _________________________________ Email: ___________________________________ Phone: __________________________________ Grade & School in Fall 2015: _________________ _________________________________________ Do you have accident insurance? _____Y _____N Policy Name and #: _________________________ __________________________________________
Each camper will receive a camp t–shirt Please circle one:
Youth
S
M
L
Adult
S
M
L
XL
Cost: $100 (cash or check). If you bring a nonNCA student, your cost is $80. Name of Friend: ________________________ Please make checks payable to Northeast Christian Academy
Please send registration form, signed release and payment to: Northeast Christian Academy Attn: Pam Wiggins 1711 Hamblen Road Kingwood TX 77339
To: NCA Boys Football Camp We, (or I), hereby request that you accept the application for the enrollment of: _______________________________________ _______________________________________ (players name) In the 2015 NCA Boys Football Camp on the dates set forth in this application, and in consideration of your acceptance, we (or I) hereby release the Northeast Christian Academy Boys Football Camp and all their employees and agents from all claims on account of any injuries which may be sustained by our (or my) son while attending the Football Camp, and its employees and agents for any claim which may be hereafter presented by our (or my) minor son.
_____________________________________ Parent Signature ______________________________________ Parent Name Date: __________________________________
Registration Form Name: __________________________________
PARENT’S RELEASE AND INDEMNITY AGREEMENT
Parent Name: _____________________________ Address: _________________________________ City/Zip: _________________________________ Email: ___________________________________ Phone: __________________________________ Grade & School in Fall 2015: _________________ _________________________________________ Do you have accident insurance? _____Y _____N Policy Name and #: _________________________ __________________________________________
Each camper will receive a camp t–shirt Please circle one:
Youth
S
M
L
Adult
S
M
L
XL
Cost: $100 (cash or check). If you bring a nonNCA student your cost is $80. Name of Friend: _______________________ Please make checks payable to Northeast Christian Academy
Please send registration form, signed release and payment to: Northeast Christian Academy Attn: Pam Wiggins 1711 Hamblen Road Kingwood TX 77339
To: NCA Girls Volleyball Camp We, (or I), hereby request that you accept the application for the enrollment of: _______________________________________ _______________________________________ (players name) In the 2015 NCA Girls Volleyball Camp on the dates set forth in this application, and in consideration of your acceptance, we (or I) hereby release the Northeast Christian Academy Girls Volleyball Camp and all their employees and agents from all claims on account of any injuries which may be sustained by our (or my) daughter while attending the Volleyball Camp, and its employees and agents for any claim which may be hereafter presented by our (or my) minor daughter.
_____________________________________ Parent Signature ______________________________________ Parent Name Date: __________________________________
Northeast Christian Academy 2015 Boys/Girls Basketball Camp
July 13—16 ~ Monday—Thursday For boys and girls entering 1st-12th grade in the Fall of 2015 (for NCA and non-NCA students)
Cost: $100 (bring a non-NCA student and you receive a $20 discount) 1st—5th Grade
6th—12th Grade
9:00 am—11:30 am
1:00—3:30 pm
Hosted by The Basketball F.A.M.,
Fundamentals, Athleticism and Mechanics (www.thebasketballfamily.net.) Coaches: Justin Jackson, Lawrence Paye, Jr. & Sei Paye Location: NCA Gym
Registration Form Name: __________________________________
PARENT’S RELEASE AND INDEMNITY AGREEMENT
Parent Name: _____________________________ Address: _________________________________
To: NCA Boys/Girls Basketball Camp
City/Zip: _________________________________
We, (or I), hereby request that you accept the application for the enrollment of:
Email: ___________________________________ Phone: __________________________________ Grade & School in Fall 2015: _________________ _________________________________________ Do you have accident insurance? _____Y _____N Policy Name and #: _________________________ __________________________________________ Each camper will receive a camp t–shirt Please circle one: Youth
S
M
L
Adult
S
M
L
XL
Cost: $100 (cash or check). If you bring a non-NCA student, your cost is $80. Name of Friend: ____________________________
Please make checks payable to Northeast Christian Academy
Please send registration form, signed release and payment to: Northeast Christian Academy Attn: Pam Wiggins 1711 Hamblen Road Kingwood TX 77339
_______________________________________ _______________________________________ (players name) In the 2015 NCA Boys/Girls Basketball Camp on the dates set forth in this application, and in consideration of your acceptance, we (or I) hereby release the Northeast Christian Academy Boys/ Girls Basketball Camp and all their employees and agents from all claims on account of any injuries which may be sustained by our (or my) son or daughter while attending the Basketball Camp, and its employees and agents for any claim which may be hereafter presented by our (or my) minor son or daughter.
_____________________________________ Parent Signature ______________________________________ Parent Name Date: __________________________________
