2017 ellison hs strength - Killeen ISD
For Admin Use Only Date Received: _____ / _____ / ________ Check #: ______________ Amount $: ____________
EXPLOSIVE POWER 2017 ELLISON HS STRENGTH & CONDITIONG CAMP FOR ALL SPORTS Eagle and Lady Eagle Strength Camp (Strength and Conditioning) Ellison HS Athletic Performance Center Cost: $40 June 5th, 2017 – July 20th, 2017 (No camp July 3rd – July 6th) Participant Name: __________________________________________________ School: __________________________________________________________________ Address: _________________________________________________________________ City, State & Zip: __________________________________________________________ Phone #: ________________________________________________________________ Email: ___________________________________________________________________ Age: _______________
Date of Birth: _______ / _______ / ________________
Grade Entering 2017-2018 Year: ____________________________________________ Primary Contact Name: _____________________________________________________ Primary Contact Phone #: ___________________________________________________ Primary Contact Email: _____________________________________________________
Check the Camp Attending and Amount Included: **Checks for Eagle Strength Camp can be made payable to KISD, or payments can be made online: https://kisd.myschoolcentral.com ☐ 8AM-10AM, Eagle Strength Camp, Incoming 9th -12th Boys and Girls ($40) ☐ 10AM-12PM, Eagle Strength Camp, Incoming 7th-8th Boys and Girls ($40) Total Money Included: $ _____________ T-Shirt Size (If submitted June 8th or before): _______________
Event Refund and Policy Waiver:
REFUND POLICY: Deposits are refundable only for medical reasons. Requests must be accompanied by a physician’s letter and must be received before your camp session begins. EVENT WAIVER: In the consideration of Ellison High School, I hereby assume all risks of his/her personal injury that may result from one of the Ellison HS Athletic Camps, granting my son/daughter permission to participate. As a parent/guardian, I do hereby release Ellison HS Athletics, KISD, and their officers, employees, agents, instructors, and all participants in said Ellison HS Athletics’ Camps, from liability, including claims and suits at law or inequality, for injury which may result from the student taking part in the Ellison HS Athletics Camps and their activities. By signing below, I understand and accept all of the separate events refund policies and/or waiver agreements above. Parent/Guardian Signature: ________________________________ Date: _____ / _____ / _____
EXPLOSIVE POWER 2017 ELLISON HS STRENGTH & CONDITIONG CAMP FOR ALL SPORTS Eagle and Lady Eagle Strength Camp (Strength and Conditioning) Ellison HS Athletic Performance Center Cost: $40 June 5th, 2017 – July 20th, 2017 (No camp July 3rd – July 6th) Participant Name: __________________________________________________ School: __________________________________________________________________ Address: _________________________________________________________________ City, State & Zip: __________________________________________________________ Phone #: ________________________________________________________________ Email: ___________________________________________________________________ Age: _______________
Date of Birth: _______ / _______ / ________________
Grade Entering 2017-2018 Year: ____________________________________________ Primary Contact Name: _____________________________________________________ Primary Contact Phone #: ___________________________________________________ Primary Contact Email: _____________________________________________________
Check the Camp Attending and Amount Included: **Checks for Eagle Strength Camp can be made payable to KISD, or payments can be made online: https://kisd.myschoolcentral.com ☐ 8AM-10AM, Eagle Strength Camp, Incoming 9th -12th Boys and Girls ($40) ☐ 10AM-12PM, Eagle Strength Camp, Incoming 7th-8th Boys and Girls ($40) Total Money Included: $ _____________ T-Shirt Size (If submitted June 8th or before): _______________
Event Refund and Policy Waiver:
REFUND POLICY: Deposits are refundable only for medical reasons. Requests must be accompanied by a physician’s letter and must be received before your camp session begins. EVENT WAIVER: In the consideration of Ellison High School, I hereby assume all risks of his/her personal injury that may result from one of the Ellison HS Athletic Camps, granting my son/daughter permission to participate. As a parent/guardian, I do hereby release Ellison HS Athletics, KISD, and their officers, employees, agents, instructors, and all participants in said Ellison HS Athletics’ Camps, from liability, including claims and suits at law or inequality, for injury which may result from the student taking part in the Ellison HS Athletics Camps and their activities. By signing below, I understand and accept all of the separate events refund policies and/or waiver agreements above. Parent/Guardian Signature: ________________________________ Date: _____ / _____ / _____
