How to Register
Class size is limited to maintain the quality of our camps. Registration is accepted on a first-come-firstserved basis. 1. Complete the registration form on the reverse side. 2. Make a copy of your child’s medical insurance card. 3. Make check payable to Madison Academy. 4. Mail or drop off the above 3 items at Madison Academy, 100 Academy Road, Madison, TN 37115
Madison Academy
Madison Academy’s 40-acre campus and facilities are located 10 miles northeast of Nashville on 100 Academy Road, Madison, TN. As a Christian college-preparatory institution, Madison Academy offers a dynamic high school curriculum supported by master teachers. Building on our rich heritage since 1904, the school continues to provide a well-rounded education that enhances students’ mental, physical, social, and spiritual growth.
Coaching Staff
The coaching staff is made up of the Madison Academy (MA) and Madison Campus Elementary (MCE) coaching team and our high school athletes. Adult supervision is maintained at all times
2016 Summer Athletic Camps
Alex Adams: MA Athletic Director with 10 years of coaching experience, currently coaching MA and MCE boys basketball and MA girls Volleyball
Franklin Cañas: MA soccer coach with 27 years soccer coaching experience
Diana Johnson: MCE Gymnastics Coach with more than 12 years coaching experience Raphan Ley: MA gymnastics coach with 28 years of coaching experience
Pastor Nacho: MCE soccer coach with 15 years of soccer coaching experience
Basketball Camps June 20-23 (Grades 5-8) June 27-30 (Grades 1-4)
Jeremy Perkins: MCE Athletic Director with 24 years of coaching experience, currently coaching MCE and MA girls basketball and MCE girls volleyball
Contact Us
For more information, please contact us at:
[email protected] or 615.878.9769
Gymnastics Camps June 6-9 (Grades 1-3 & 4-8) Soccer Camps June 13-16 (Grades 5-8) June 27-30 (Grades 1-4) Volleyball Camp June 27-30 (Grades 4-6)
June 6-9
June 13-16
June 20-23
Gymnastics Camps Time: 1:00 – 4:00 PM Ages: Grades 1-3 & 4-8 Tuition: $100 Soccer Camp Time: 8:30 – 11:30 AM Ages: Grades 5-8 Tuition: $100 Basketball Camp Time: 8:30 – 11:30 AM Ages: Grades 5-8 Tuition: $100
June 27-30
Soccer Camp Time: 8:30 – 11:30 AM Ages: Grades 1-4 Tuition: $100
June 27-30
Volleyball Camp Time: 8:30 – 11:30 AM Ages: Grades 4-6 Tuition: $100
June 27-30
Basketball Camp Time: 12:30 – 2:30 PM Ages: Grades 1-4 Tuition: $75
2016 Athletic Camp Registration
Program Highlights
Summer 2016 Schedule
Experienced and caring Christian coaches
Please return completed form and payment to: Madison Academy
Enthusiastic high school athletes as assistants
Name: ______________________________
Individualized instruction
City: ________________ St: ___ Zip: _____
Low camper: staff ratio
School: ______________________________
Competitive contest and game play
Parent/Guardian: _____________________
Camp T-shirt
Emergency Contact: ___________________
Exciting, fun, and good competition for every camper
Address: ____________________________ Age: ___________ Grade in Fall: _________ Email: ______________________________ Phone Wk: ____________ Hm: __________ Emergency Contact Phone: ______________ Shirt Size: Youth S M L XL or Adult S M L XL Release of Liability
The parent and participant understand that the activities associated with the Madison Athletic camps require strenuous physical activity, including but not limited to running, jumping, stretching, and physical contact, and declare that the participant’s physical condition enables him/her to participate fully in all activates associated with the basketball camp. The parent and participant agree to indemnify and hold harmless Knight Athletic Camp, its agents and representatives; Madison Academy, KY/TN Conference, from any liability arising from the activities associated with the athletic camps. This specifically includes injury arising from negligence on the part of those mentioned above. Madison Academy has my permission to authorize medical care in the event of an emergency; I acknowledge that my child is covered by our own personal medical insurance.
________________________________________ (Parent/Guardian Signature)
Check Appropriate Camps: June 6-9 – Gymnastics Camp (gr. 1- 3 & 4-8) June 13-16 – Soccer Camp (gr. 5-8) June 20-23 – Basketball Camp (gr. 5-8) June 27-30 Volleyball Camp (gr. 4-6) June 27-30 – Soccer Camp (gr. 1-4) June 27-30 – Basketball Camp (gr. 1-4)
Amount enclosed with form: $