Summer Pride JH

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“Championships Start Here” "A great attitude is not the result of success; success is the result of a great attitude." THE SUMMER WEIGHT LIFTING/CONDITIONING PROGRAM FOR ALL BLANCHARD JR. HIGH ATHLETES (6th-8th grade)

DATES & TIMES: July 10-13 July 17-20 July 24-27 July 31-Aug 3

9:30 am—11:00 am (M-T-W-TH) 9:30 am—11:00 am (M-T-W-TH) (Off Week) 9:30 am—11:00 am (M-T-W-TH)

An hour and a half of intensive, valuable instruction and workouts Weight Training—Agilities—Plyometrics—Speed Development COST $40.00 w/Pre-Enrollment on or before July 7th or $50.00 after July 7th ALL PAID ATHLETES WILL RECEIVE A “DIFFERENCE MAKER” T-SHIRT

APPLICATION LIABILITY RELEASE: I hereby authorize the staff of Blanchard High School to act for me in any emergency requiring medical attention. I hereby release and exonerate the Blanchard School District and all school employees from any and all liability for any injury or illness incurred in “THE DIFFERENCE MAKER” or while traveling to and from “THE DIFFERENCE MAKER”. I give my child permission to attend “THE DIFFERENCE MAKER” as my child is physically fit. I HAVE MY OWN INSURANCE. (A current physical must be on file for an athlete to attend) ATHLETE’S NAME____________________________________________________________________ PARENT’S SIGNATURE__________________________________________PRINT__________________________

ADDRESS_______________________________________________________________ZIP__________

Home Ph. Number________________________________ Emergency Ph. No.____________________Contact name & Relationship_________________________ **Please include a phone number of someone we can reach during camp hours in case of an emergency** Grade—Fall 2017_________Sport(s)_______________________________________________________

Adult T-shirt size (circle one):

S

M

L

XL

2X

“DIFFERENCE MAKER” TUITION: $40 on or before July 7th Make checks payable to Blanchard Touchdown Club. Mailing Address:

“Difference Maker” C/0 Jeff Craig PO Box 895 Blanchard, OK 73010

3X

or

or

YM

YL

$50 after July 7th

Contact Person:

Jeff Craig 485-3392 x370 FH (leave message)