Fitzgerald Track & Field Kid's Camp

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Fitzgerald Track & Field Kid’s Camp Registration Form June 1st-3rd, 2016 Camp hours are from 9am-11:30am. Camp will be held at the Fitzgerald Track and Field Complex located at Ben-Hill Middle School. Registration forms can be dropped off in the Front Office at Fitzgerald High School, Southern Physical Therapy next to American Body Works or Register the 1st day of camp. You may drop off you kids starting at 8:45am. Please be prompt in picking up your kids at the end of each camp day. On Friday we will have a Camp Competition where we invite parents to watch your child compete in various track events that they have been working on. We will be working on running, jumping, and throwing events based on each age group. Participant's Name: ____________________________________________ Parent/Guardian: __________________________________________ Parent Contact: ______________________________________________ Emergency Contact Name & Number during camp hours (Provide at least two): ___________________________________________________________ ____________________________________________________________ CIRCLE TO REGISTER FOR APPROPRIATE CLASS*** Class is based on grade for the 2016-2017 school year 16-17 Kindergarten

Things to Bring to Camp Every Day!  Water Bottle  Sunscreen  Tennis Shoes/Running Shoes

16-17 1st Grade 16-17 2nd Grade 16-17 3rd Grade 16-17 4th Grade 16-17 5th Grade 16-17 6th Grade

__________________________________________________________________________________________________________ *** PLEASE CIRCLE T-SHIRT SIZE*** Youth X Small (2-4)

Adult Small

Youth Small (6-8)

Adult Medium

Youth Medium (10-12)

Adult Large

Youth Large (14-16)

Adult X Large

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All participants in the Fitzgerald High School Track and Field Camp must follow all rules set forth by the Ben Hill County Board of Education. Please be advised that Fitzgerald High School, the Ben Hill Co. Board of Education, and its employees are not responsible for any accidents or injuries that may occur during the Fitzgerald Track and Field Camp . PARENTS' SIGNATURE: ________________________________________________________________________________________ DATE: ____________________________________________________ INDICATE WITH A CHECK MARK WHICH METHOD OF PAYMENT WAS MADE: $30 CAMP FEE Make Checks Payable to: Fitzgerald Track & Field CHECK CASH

CHECK #: