Cross Country Camp
Cross Country Camp Grades 6-12 June 5-9th 6:00 – 7:15am Location: Meet at Jefferson High School Cost: $25 (includes camp fee and 1 t-shirt) Please make checks payable to Jefferson C. C. Staff: Coach Rhodes (573) 979 – 6861 and Coach Wilkey Required to attend camp a physical dated after 2/20/17. This will allow your child to use the physical for the 2017 – 2018 cross country season. This physical is needed for the 1st day of camp.
Please fill out and return this form with money no later than May
5. Return forms to the high school office or the middle school office. Forms are needed by May 5 with money to insure your child gets a shirt.
Name: ______________________________
Grade (next year) _________________
Address: _________________________________________________________ Phone: _________________________ Parent Name(s): ______________________ Parent Signature: _________________________________________________ Emergency Contact Number: ______________________________________ # of shirts and size: S_____ M_____ L_____ XL_____ XXL_____ Other: _____ (Parents this would be a great time for you to get a shirt, additional shirts are $12)
*Shirt design on back
Order Total _____________
Please fill out and return this form with money no later than May
5. Return forms to the high school office or the middle school office. Forms are needed by May 5 with money to insure your child gets a shirt.
Name: ______________________________
Grade (next year) _________________
Address: _________________________________________________________ Phone: _________________________ Parent Name(s): ______________________ Parent Signature: _________________________________________________ Emergency Contact Number: ______________________________________ # of shirts and size: S_____ M_____ L_____ XL_____ XXL_____ Other: _____ (Parents this would be a great time for you to get a shirt, additional shirts are $12)
*Shirt design on back
Order Total _____________
