olympic 2017 - ARMS Software
FURTHER INFORMATION If you have other questions about Daemen College Olympic Camps, please contact Athletics Operations Coordinator Chad Van Every at 716.839.7694 or [email protected].
CAMP STAFF Our Olympic camp is staffed by some of the finest camp counselors in Western New York. These counselors have experience working with youth of all ages. Each counselor brings a unique expertise to the camp experience.
APPLY NOW! Due to popularity, it is necessary to limit the number of participants. Therefore, it is important to apply in advance by mailing in your application form as soon as possible. Those accepted will receive an acknowledgment by return mail.
4380 Main Street Amherst, NY 14226
MAIL TO: Daemen Athletics Olympic Camp 4380 Main Street Amherst, NY 14226
2017 OLYMPIC
SUMMER CAMP for boys & girls entering grades K-8
Session 1: AUGUST 14-18 Session 2: AUG. 28-SEP. 1
Daemen College sports camps may limit attendance based on several factors, such as age, number of participants and grade level. However, camp attendance at Daemen is never restricted by a camper’s skill level or competitive experience.
DAEMEN COLLEGE 4380 Main Street, Amherst, NY 14226 Telephone: 716.839.8346
REGISTER ONLINE:
daemen.edu/sportscamps
2017 OLYMPIC SUMMER CAMP PROGRAMS @DAEMEN COLLEGE
2017 OLYMPIC CAMP REGISTRATION FORM All requested information below is required to complete camp enrollment OR register online at daemen.edu/sportscamps PLEASE PRINT
for boys & girls entering grades K-8 9:00am–4:00pm each day
_____________________________________________________________________________ NAME: LAST
FIRST
_________________________________________________________________________ STREET ADDRESS
Session 1: AUGUST 14-18 Session 2: AUGUST 28-SEPTEMBER 1
_________________________________________________________________________ CITY, STATE, ZIP
_________________________________________________________________________ HOME PHONE
_________________________________________________________________________
CAMP FEATURES:
EMAIL ADDRESS
• All campers receive a Daemen College Athletics Olympic Summer Camp T-shirt.
• Strong emphasis on team fundamentals, leadership skills, and sportsmanship
• Team and individual awards • WORKING PARENTS SPECIAL:
Age: _________________ Entering Grade (Sept. 2017): __________________
FACILITIES
_____________________________________________________________________________
The Olympic Summer Camp is held on the campus of Daemen College on Main Street in Amherst, NY. Facilities include Lumsden Gymnasium, the home venue of the Wildcats, and the Academic and Wellness Center.
PHONE NO.
_________________________________________________________________________ HEALTH INSURANCE PROVIDER
_________________________________________________________________________ HEALTH INSURANCE POLICY NO.
Please indicate the camp(s) you are registering for:
• Early drop off and late pick-up
❒ Session 1: AUGUST 14-18
Early Drop Off Times: 8:00am to 9:00am Late Pick Up Times: 4:00pm to 5:00pm
❒ Session 2: AUGUST 28-SEPTEMBER 1
• Gym will be supervised for 1 hour after camp ends • $50.00 per family for the entire week
Please indicate the camp rate(s) you are registering for: Individual: ❒ $150
Family: ❒ $135 -OR- ❒ $130
❒ Working Parents Special $50 ATHLETIC FACILITY
COST: $150 per camper FAMILY RATE: $135 each (two siblings) or $130 each (three siblings)
EMERGENCY CONTACT NAME
Total Enclosed: $ ______________________________________ Please make all checks payable to: Daemen College Olympic Camp * A $25 service charge will be assessed for all returned checks
MEDICAL STAFF
*Please note: Applications must be received one week prior to the start of camp to receive the discount rate. All forms must be sent in together.
The Olympic camp will be fully staffed with two athletic trainers, and we have a fully equipped training room to meet all of the campers’ needs.
INSURANCE Each participant is required to have medical insurance. Any medical bills incurred will be billed to the camper’s insurance company. Any medical expenses not covered by your insurance policy are the responsibility of the camper’s parents or guardians.
CONDUCT The Camp Director reserves the right to dismiss any camper for misconduct. No refund will be given in that case.
I hereby give Daemen College the absolute and irrevocable right and permission with respect to the photographic images that the College has taken of my son/daughter during their participation in summer sports camps to use, re-use, publish and republish the same in whole or in part, individually or in conjunction with other photographic images in any medium and for any purpose whatsoever, including (but not by way of limitation) illustration, promotion and advertising and trade. I hereby release and discharge Daemen College from any and all claims and demands arising out of or in connection with the use of photographs, including any and all claims for libel. This authorization and release shall also ensure to the benefit of the legal representatives, licenses and assigns of Daemen College, as well as the person(s) for whom the photographs were taken. I have read the foregoing and fully understand the contests thereof. _____________________________________________________________________________ PARENT/GUARDIAN SIGNATURE DATE
CAMP STAFF Our Olympic camp is staffed by some of the finest camp counselors in Western New York. These counselors have experience working with youth of all ages. Each counselor brings a unique expertise to the camp experience.
APPLY NOW! Due to popularity, it is necessary to limit the number of participants. Therefore, it is important to apply in advance by mailing in your application form as soon as possible. Those accepted will receive an acknowledgment by return mail.
4380 Main Street Amherst, NY 14226
MAIL TO: Daemen Athletics Olympic Camp 4380 Main Street Amherst, NY 14226
2017 OLYMPIC
SUMMER CAMP for boys & girls entering grades K-8
Session 1: AUGUST 14-18 Session 2: AUG. 28-SEP. 1
Daemen College sports camps may limit attendance based on several factors, such as age, number of participants and grade level. However, camp attendance at Daemen is never restricted by a camper’s skill level or competitive experience.
DAEMEN COLLEGE 4380 Main Street, Amherst, NY 14226 Telephone: 716.839.8346
REGISTER ONLINE:
daemen.edu/sportscamps
2017 OLYMPIC SUMMER CAMP PROGRAMS @DAEMEN COLLEGE
2017 OLYMPIC CAMP REGISTRATION FORM All requested information below is required to complete camp enrollment OR register online at daemen.edu/sportscamps PLEASE PRINT
for boys & girls entering grades K-8 9:00am–4:00pm each day
_____________________________________________________________________________ NAME: LAST
FIRST
_________________________________________________________________________ STREET ADDRESS
Session 1: AUGUST 14-18 Session 2: AUGUST 28-SEPTEMBER 1
_________________________________________________________________________ CITY, STATE, ZIP
_________________________________________________________________________ HOME PHONE
_________________________________________________________________________
CAMP FEATURES:
EMAIL ADDRESS
• All campers receive a Daemen College Athletics Olympic Summer Camp T-shirt.
• Strong emphasis on team fundamentals, leadership skills, and sportsmanship
• Team and individual awards • WORKING PARENTS SPECIAL:
Age: _________________ Entering Grade (Sept. 2017): __________________
FACILITIES
_____________________________________________________________________________
The Olympic Summer Camp is held on the campus of Daemen College on Main Street in Amherst, NY. Facilities include Lumsden Gymnasium, the home venue of the Wildcats, and the Academic and Wellness Center.
PHONE NO.
_________________________________________________________________________ HEALTH INSURANCE PROVIDER
_________________________________________________________________________ HEALTH INSURANCE POLICY NO.
Please indicate the camp(s) you are registering for:
• Early drop off and late pick-up
❒ Session 1: AUGUST 14-18
Early Drop Off Times: 8:00am to 9:00am Late Pick Up Times: 4:00pm to 5:00pm
❒ Session 2: AUGUST 28-SEPTEMBER 1
• Gym will be supervised for 1 hour after camp ends • $50.00 per family for the entire week
Please indicate the camp rate(s) you are registering for: Individual: ❒ $150
Family: ❒ $135 -OR- ❒ $130
❒ Working Parents Special $50 ATHLETIC FACILITY
COST: $150 per camper FAMILY RATE: $135 each (two siblings) or $130 each (three siblings)
EMERGENCY CONTACT NAME
Total Enclosed: $ ______________________________________ Please make all checks payable to: Daemen College Olympic Camp * A $25 service charge will be assessed for all returned checks
MEDICAL STAFF
*Please note: Applications must be received one week prior to the start of camp to receive the discount rate. All forms must be sent in together.
The Olympic camp will be fully staffed with two athletic trainers, and we have a fully equipped training room to meet all of the campers’ needs.
INSURANCE Each participant is required to have medical insurance. Any medical bills incurred will be billed to the camper’s insurance company. Any medical expenses not covered by your insurance policy are the responsibility of the camper’s parents or guardians.
CONDUCT The Camp Director reserves the right to dismiss any camper for misconduct. No refund will be given in that case.
I hereby give Daemen College the absolute and irrevocable right and permission with respect to the photographic images that the College has taken of my son/daughter during their participation in summer sports camps to use, re-use, publish and republish the same in whole or in part, individually or in conjunction with other photographic images in any medium and for any purpose whatsoever, including (but not by way of limitation) illustration, promotion and advertising and trade. I hereby release and discharge Daemen College from any and all claims and demands arising out of or in connection with the use of photographs, including any and all claims for libel. This authorization and release shall also ensure to the benefit of the legal representatives, licenses and assigns of Daemen College, as well as the person(s) for whom the photographs were taken. I have read the foregoing and fully understand the contests thereof. _____________________________________________________________________________ PARENT/GUARDIAN SIGNATURE DATE
