Northview Titan Cheerleading
9th Annual SUMMER CHEER CAMP 2011 June 6th – June 10th from 9 a.m. – 12:30 p.m. Cost - $125 – Make checks payable to NHS Cheer **NEW** “After Cheer Care” 1 p.m. – 4 p.m. $10 extra each day {Monday – Thursday Only!} Please join the NHS TITAN Cheerleaders for their 9th Annual Summer Cheerleading camp for all children ages 4 and up that are interested in learning the techniques of cheerleading. Who: All children (boys and girls) ages 4 and up What: Cheerleading Camp Where: Northview High School When: June 6 – 10, 9am to 12:30 pm daily (Final Performance at Noon on Friday!) Camp Cost: $125 per child – please make checks payable to NHS Cheer “After Cheer Care” – Monday – Thursday only for $10 extra each day from 1 p.m. – 4 p.m. (any camper attending until 4 p.m. will need to bring their lunch and a drink with them) Daily instruction will include: Chants (Football and Basketball) Cheers (Football and Basketball) Dance & Competition routines Jumps Stunting (Full supervision at all levels) Tumbling (Full supervision at all levels)
Each day drinks and a snack will be provided! Each camper will receive a certificate of participation, a souvenir T-shirt, and NHS Cheer Wear & Spirit items will be on sale each day! Please fill out the Registration form & send it to Coach Felicia Gialenios to: Northview High 10625 Parsons Rd Johns Creek, Ga. 30097 We are looking forward to seeing you There!
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Come join the Northview Titan Cheerleaders in our “9 Annual TITAN Cheer Camp”
All Cheer Camp attendees will participate in the following: Chants, Cheers, Dances, Banner making, Stunts, Spirit routines, & with new and exciting events!! th th June 6 – June 10 from 9 a.m. – 12:30 p.m. for $125 (A snack/drink will be provided Daily & They will perform with their groups on Friday at 12 p.m.) This year we are offering “After Cheer Care” from 1 p.m. – 4 p.m. for only $10, extra each day, for those parents that desire to have the opportunity of the later pick up time. If your child will be attending one or all of these 4 “After Cheer Care” afternoons, your child will need to bring their lunch and a drink with them to camp. This will only be available Monday – Thursday. All Cheer Camp Attendees will be have the opportunity to join the Varsity Football & JV Football sideline cheerleaders for one of the Northview Home games in the Fall, date and time to be determined. Each participant will receive a T-‐shirt. NHS Cheer Wear & Ribbons will be available for Sale each a.m. & afternoon – GO Northview TITANS!!!! Camper’s Name _____________________________________ Any allergies we need to be aware of:________________ Address _____________________________________ _____________________________________________ City, State, Zip _____________________________________ _____________________________________________ Phone Number ________________________ Age Referred by NHS Cheerleader ______________________ T-‐shirt Size: (Circle One) YS YM YL AS AM AL “After Cheer Care” M T W TH {$10 each day} ________ Parent/Guardian Name __________________________________________________ Email address ________________________________________ Subdivision:_____________________________________________ Does your child have any cheerleading experience? ___________________________________________________________________________________________________________ Special Instructions (if your child would like to be placed in a group with specific campers, please list names here): _________________________________________________________________________________________________________ **Pictures of your child may be taken at this event, NHS Cheerleading Mini Camp. We reserve the right to publish these photos. Mail this Completed Form along with your Check written to NHS Cheer to: Coach Felicia Gialenios – Head Cheerleading Coach Northview High School 10625 Parsons Road Johns Creek, GA 30097 Fulton County Medical Release Waiver - I hereby certify that I am the parent or legal guardian of the camper. I hereby give permission for the staff of the camp, during the period of the camp, to seek appropriate medical attention for the camper, and for medical attention to be given, and for the camper to receive medical attention in the event of accident, injury, or illness. I will be responsible for any and all costs of medical attention and treatment, and have medical insurance to cover these costs. Additionally, I hereby state that the Northview Cheerleading Camp and Northview High School are not responsible for any pre-existing injury or reoccurrence of any undisclosed pre-existing injury or illness of the above camper prior to the first day the camper registers. I further hereby certify for ourselves, our heirs, executors and administrators, to waive, release and forever discharge Northview Cheerleading Camp and Northview High School, and its staff, officers, agents, employees, representatives, and successors from 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 the damages, injury, or loss is due to negligence. Signature of Parent/Guardian: _______________________________________________________
Date:_______________________
Insurance Information - I certify that ________________________________ is covered by medical insurance. In the event of a medical emergency, I give permission for the school to seek medical treatment for my child in the event I can’t be contacted in a timely manner. Name of Policy owner: ____________________________
Insurance Provider/Company:__________________________________
Policy # ____________________________ Parent/Guardian Signature ____________________________________________Date_____________