Mt. Vernon High School Tennis Courts 8112 N 200 W ...
Marauder Tennis Camp 2016 Mt. Vernon High School Tennis Courts 8112 N 200 W Fortville, IN 46040
Week One June 6th to June 10th 1pm to 2pm K-3rd Next Fall $45
2pm to 3pm 3pm to 4pm 4pm to 6pm 4th-6th Next Fall 7th-8th Next Fall 9th-12th Next Fall $45 $45 $65 Week Two June 13th to June 17th
1pm to 2pm K-3rd Next Fall $45
2pm to 3pm 3pm to 4pm 4pm to 6pm 4th-6th Next Fall 7th-8th Next Fall 9th-12th Next Fall $45 $45 $65
Fee Information: (grades entering next Fall): $45 per week or $70 for both weeks th th 9 -12 (grades entering next Fall): $65 per week or $100 for both weeks Each additional sibling: $40 for 1 week or $60 for both weeks Please write names, grade, weeks & times desired on separate sheet of paper if registering more than one child. If rain, we will try to get classes made up but no guarantee K-8th
-------------------------------------------------------Return this portion with payment
Registration Form Name of Camper: _________________Parent Name: ______________________ Address City, State & Zip: ____________________________________________ Phone #:__________________Emergency Phone #:________________________ Email Address: _____________________________________________________ Clinic Session Attending: Week (s): __________________Age Group: ___________________ Date of Birth: _______________Gender: ____ Male _____ Female T-Shirt Size (Circle One): Youth S M L Adult S M L XL XXL Send registration form with check (payable to Gabe Muterspaugh) to: Gabe Muterspaugh Marauder Tennis Camp 1479 N 400 W Greenfield, IN 46140 Or turn forms and checks into MVHS
Marauder Tennis Camp 2016 Coach Gabe Muterspaugh •20th Year MVHS Coach •Boy’s Record 212-159 •Girl’s Record 222-65 •13 County Titles Camp awards & If you have any certificates will be •15 Sectional Titles questions, please given plus the famous •3 Regional Finals contact Gabe at (317) water battle will 538-8023 or •23 All-State Players continue for K-6th [email protected] •5 HHC Coach of Year during Friday session •2 District 4 Coach of Year •2007 to Current IHSTECA Board Member Staff Members Former & Current MVHS JV & Varsity Players Former All-State Players
-------------------------------------------------------Return this portion with payment
Parent Consent Form Name of Camper: __________________ Emergency Telephone #: ______________ Allergic Reactions: __________________Present Medications: ________________ Past Injuries or Illnesses that are relevant to camp:___________________________ ____________________________________________________________________ Permission & Health Waiver Statement: (must be signed in order to participate) I recognize that because of the nature of this activity that injury might be sustained. In the event of such an injury to my child, if I or my spouse cannot be contacted, I give my permission to the attending physician to render such treatment. I now release the employees and assigns from responsibility for any person injuries to property caused by or having a relation to this activity. I understand that this release applies to any present or future injuries and it binds my heirs, executors and administrators. I have read this release and understand all of its terms. I sign voluntarily and with full knowledge of its significance . ___________________________________ Signature of parent or guardian with date
Week One June 6th to June 10th 1pm to 2pm K-3rd Next Fall $45
2pm to 3pm 3pm to 4pm 4pm to 6pm 4th-6th Next Fall 7th-8th Next Fall 9th-12th Next Fall $45 $45 $65 Week Two June 13th to June 17th
1pm to 2pm K-3rd Next Fall $45
2pm to 3pm 3pm to 4pm 4pm to 6pm 4th-6th Next Fall 7th-8th Next Fall 9th-12th Next Fall $45 $45 $65
Fee Information: (grades entering next Fall): $45 per week or $70 for both weeks th th 9 -12 (grades entering next Fall): $65 per week or $100 for both weeks Each additional sibling: $40 for 1 week or $60 for both weeks Please write names, grade, weeks & times desired on separate sheet of paper if registering more than one child. If rain, we will try to get classes made up but no guarantee K-8th
-------------------------------------------------------Return this portion with payment
Registration Form Name of Camper: _________________Parent Name: ______________________ Address City, State & Zip: ____________________________________________ Phone #:__________________Emergency Phone #:________________________ Email Address: _____________________________________________________ Clinic Session Attending: Week (s): __________________Age Group: ___________________ Date of Birth: _______________Gender: ____ Male _____ Female T-Shirt Size (Circle One): Youth S M L Adult S M L XL XXL Send registration form with check (payable to Gabe Muterspaugh) to: Gabe Muterspaugh Marauder Tennis Camp 1479 N 400 W Greenfield, IN 46140 Or turn forms and checks into MVHS
Marauder Tennis Camp 2016 Coach Gabe Muterspaugh •20th Year MVHS Coach •Boy’s Record 212-159 •Girl’s Record 222-65 •13 County Titles Camp awards & If you have any certificates will be •15 Sectional Titles questions, please given plus the famous •3 Regional Finals contact Gabe at (317) water battle will 538-8023 or •23 All-State Players continue for K-6th [email protected] •5 HHC Coach of Year during Friday session •2 District 4 Coach of Year •2007 to Current IHSTECA Board Member Staff Members Former & Current MVHS JV & Varsity Players Former All-State Players
-------------------------------------------------------Return this portion with payment
Parent Consent Form Name of Camper: __________________ Emergency Telephone #: ______________ Allergic Reactions: __________________Present Medications: ________________ Past Injuries or Illnesses that are relevant to camp:___________________________ ____________________________________________________________________ Permission & Health Waiver Statement: (must be signed in order to participate) I recognize that because of the nature of this activity that injury might be sustained. In the event of such an injury to my child, if I or my spouse cannot be contacted, I give my permission to the attending physician to render such treatment. I now release the employees and assigns from responsibility for any person injuries to property caused by or having a relation to this activity. I understand that this release applies to any present or future injuries and it binds my heirs, executors and administrators. I have read this release and understand all of its terms. I sign voluntarily and with full knowledge of its significance . ___________________________________ Signature of parent or guardian with date
