pshs summer sports camps 2015 registration
PSHS SUMMER SPORTS CAMPS 2015 REGISTRATION
No confirmation will be sent. Please report on the camp start date listed on this camp schedule. Please make checks payable to PSHS. There is no registration by phone, fax or credit card. Camp fees are due by the first day of camp. Please complete a registration form for each participant. Payment for multiple camps/family members may be combined on one check. Sorry, no multi-child discount. The camp offerings listed are tentative, contingent upon enrollment. Fees are not pro-rated at any time. If a camp is canceled due to low enrollment, registered students will be contacted. Full refunds will be made only in the event that a camp is canceled. Refunds will not be issued for any reason after a camp has started. To request a refund before the first day of camp, please call 815.577.5523 and leave a message. Please allow 4-6 weeks for refund. Processing fee of $20 will be deducted. In the event of weather-related cancellations during a camp, signs will be posted at PSHS and coaches will make every effort to contact participants. Refunds will not be issued for weather-related cancellations. Please mail signed registration form with payment to: Summer Sports Camps, PSHS Athletic Office, 7800 W Caton Farm Rd, Plainfield, IL 60586 Fall 2015 Grade
articipant Name Please circle tshirt size (Not all camps will have tshirts) Parent/Guardian Name
ADULT
S
M
L
YOUTH S
M
L
XL
XXL
Phone 1
Address
Phone 2
City
Email
Emergency Contact
Phone
Health Concerns/Pre-existing medical conditions:
Sign and date below after reading. I hereby register my child in a Plainfield South High School Summer Camp. I understand the participant is required to have their own accident coverage to participate in the camp(s) and realize there is a risk of being injured that is inherent in all sports and activities. I certify that I understand the need for insurance coverage, the inherent risks in participation and give my consent in advance for medical treatment. The undersigned agrees to hold harmless and indemnify Plainfield School District 202, their officers, agents and employees from any and all liability, loss, damages, costs or expenses which are sustained, incurred or required arising out of the actions of my dependent in the course of the camp.
Parent/Guardian Signature
Date
Girls Badminton High School Camp
$55
Football High School Camp
$100
Boys Basketball Youth Camp
$55
Co-ed Soccer Youth Camp
$55
$55
Co-ed Soccer High School Camp
$55
Co-ed Tennis Youth or High School Camp
$55
Boys Track & Field Youth Camp
$100
Boys Basketball High School Camp Co-ed Basketball Youth Camp Girls Basketball Youth Camp
1 wk=$55 or $75 both 1 wk=$55 or $75 both
Girls Basketball High School Camp
$100
Girls Track & Field Youth Camp
$100
Boys Cross Country Youth Camp
$100
Boys Volleyball Youth or High School Camp
$55
Girls Cross Country Youth Camp
$100
Girls Volleyball Youth or High School Camp
$55
Football Youth Camp
$50
Wrestling Youth Camp
$55 Total Enclosed $
PSHS SUMMER SPORTS CAMPS 2015 Questions about registration, please email [email protected]. Questions about a specific camp or sport, please contact the head coach of the program. NOTE: Incoming 9-12 grade students must be registered at PSHS to attend workouts/camps. Sport/Grade Badminton Youth Camp Grades 6-8 Badminton High School Camp Grades 9-12 Boys Basketball Youth Skills Camp Grades 5-6 Boys Basketball Youth Skills Camp Grades 7-8 Boys Basketball High School Camp Grades 9-12 Co-ed Basketball Youth Camp Grades 3-4 Girls Basketball Youth Camp Grades 5-8 Girls Basketball High School Camp Grades 9-12 Boys Cross Country Youth Camp Grades 5-9 Girls Coed Cross Country Youth Camp Grades 5-9 Football Youth Camp Grades 3-8 Football & Weightlifting High School Camp Grades 9-12 Girls Golf Ages 13-18 Coed Soccer Youth Camp Grades 5-8 Coed Soccer High School Camp Grades 9-12 Coed Tennis Youth & High School Camp Grades 4-12 Boys Track & Field Youth Camp Grades 5-9 Girls Track & Field Youth Camp Grades 5-9 Boys Volleyball Youth Camp Grades 6-8 Boys Volleyball High School Camp Grades 9-12 Girls Volleyball Youth Camp Grades 5-8 Girls Volleyball High School Camp Grades 9-12 Wrestling Youth Camp Beginners (1-3 years experience) Wrestling Youth Camp (3+ years experience) Wrestling High School Camp Boys Golf Camp Coed Swim Camp
Fee
Camp Date, Time & Location
Coach
$55
6/8 thru 6/11
10:45AM-12PM
PSHS Field House
$55
6/8 thru 6/11
9-10:30AM
PSHS Field House
$55
6/1 thru 6/4
9-10:45AM
PSHS Main Gym
$55
6/1 thru 6/4
10:45AM-12PM
PSHS Main Gym
$55
5/29 and 6/1 thru 6/5
$55/$75 $55/$75 $100 $100
PSHS Field House & Main Gym PSHS Field House PSHS Main Gym PSHS Field House PSHS Main Gym
3-5PM
6/1 thru 6/4 6/8 thru 6/11 6/1 thru 6/4 6/8 thru 6/11 6/1 thru 6/4 AND 6/8 thru 6/11 6/15 thru 7/30 (Mondays, Tuesdays, Thursdays)
9-11AM 9-11AM
PSHS Main Gym
8-9:30AM
Hammel Woods, Black Rd Entrance
Jason Crowe [email protected] Dan Shuman [email protected] Ken Bublitz [email protected]
6/15 thru 7/30 (Mondays, Tuesdays, Thursdays)
8-9:30AM
Hammel Woods, Black Rd Entrance
$55
6/15 thru 6/18
6-7:30PM
PSHS Football Field
$100
See attached information
See attached
PSHS Stadium
$60
6/8 thru 6/10
10AM-12PM
$55
6/8 thru 6/12
8:30-10AM
PSHS Soccer Field
$55
7/20 thru 7/24
9-11AM
PSHS Soccer Field
$55
6/1 thru 6/5
9-11AM
$100
6/22 thru 7/15 (Mondays & Wednesdays) 6/22 thru 7/15 (Mondays & Wednesdays)
Tim Boe [email protected] Tim Boe [email protected] Tim Boe [email protected] Leah Carter [email protected] Leah Carter [email protected] Leah Carter [email protected]
5-7PM
$100
$100
Todd Kiesewetter [email protected] Todd Kiesewetter [email protected]
Inwood Golf Course Pay $60 fee @ Inwood
PSHS Tennis Courts (players grouped based on ability)
Ken Bublitz [email protected] Caroline Butler [email protected]
Lauren DeWolf [email protected] David Brown [email protected] Caitlin Dodge [email protected]
10:30AM-12PM
PSHS Stadium Track
10:30AM-12PM
PSHS Stadium Track
Jason Crowe [email protected] Janeen Carlberg [email protected] Taryn Surbaugh [email protected]
$55
6/15 thru 6/18
9-11AM
PSHS Main Gym
$55
6/15 thru 6/18
12-2PM
PSHS Main Gym
$55
7/13 thru 7/16
9-11AM
PSHS Main Gym
$55
7/13 thru 7/16
1-3PM
PSHS Main Gym
$55
7/6 thru 7/9
9-10:30AM
PSHS Wrestling Room
Jason Acevedo [email protected]
$55
7/6 thru 7/9
11AM-1PM
PSHS Wrestling Room
Jason Acevedo [email protected]
Email Coach Acevedo Email Coach Boe Register thru PNHS or email Coach Sam
Taryn Surbaugh [email protected] Amanda O’Boyle [email protected] Amanda O’Boyle [email protected]
Jason Acevedo [email protected] Tim Boe [email protected] George Sam [email protected]
PSHS FRESHMAN FOOTBALL CAMP 2015 COST: $100 (includes all dates) BRING: Cleats, Gym shoes, Shorts, T-shirt
FRESHMAN DATES June
8-11
9am - 12pm
Monday thru Thursday
June
15-18
9am - 12pm
Monday thru Thursday
July
6-9
9am - 12pm
Monday thru Thursday
July
13-16
9am - 12pm
Monday thru Thursday
July
20-23
9am - 12pm
Monday thru Thursday
PSHS SOPHOMORE & VARSITY FOOTBALL CAMP 2015 COST: $100 (includes all dates) BRING: Cleats, Gym shoes, Shorts, PSHS T-shirt
SOPHOMORE & VARSITY DATES June
8-11
2pm - 6pm
Monday thru Thursday
June
15-18
2pm - 6pm
Monday thru Thursday
June
22-25
2pm - 6pm
Monday thru Thursday
July
14-16
4pm - 8pm
Tuesday thru Thursday
July
21-23
4pm – 8pm
Tuesday thru Thursday
July
28-30
4pm – 8pm
Tuesday thru Thursday
Required Player & Parent Meeting Freshman, Sophomore & Varsity August 11, 2015 6:30pm @ PSHS Auditorium
No confirmation will be sent. Please report on the camp start date listed on this camp schedule. Please make checks payable to PSHS. There is no registration by phone, fax or credit card. Camp fees are due by the first day of camp. Please complete a registration form for each participant. Payment for multiple camps/family members may be combined on one check. Sorry, no multi-child discount. The camp offerings listed are tentative, contingent upon enrollment. Fees are not pro-rated at any time. If a camp is canceled due to low enrollment, registered students will be contacted. Full refunds will be made only in the event that a camp is canceled. Refunds will not be issued for any reason after a camp has started. To request a refund before the first day of camp, please call 815.577.5523 and leave a message. Please allow 4-6 weeks for refund. Processing fee of $20 will be deducted. In the event of weather-related cancellations during a camp, signs will be posted at PSHS and coaches will make every effort to contact participants. Refunds will not be issued for weather-related cancellations. Please mail signed registration form with payment to: Summer Sports Camps, PSHS Athletic Office, 7800 W Caton Farm Rd, Plainfield, IL 60586 Fall 2015 Grade
articipant Name Please circle tshirt size (Not all camps will have tshirts) Parent/Guardian Name
ADULT
S
M
L
YOUTH S
M
L
XL
XXL
Phone 1
Address
Phone 2
City
Emergency Contact
Phone
Health Concerns/Pre-existing medical conditions:
Sign and date below after reading. I hereby register my child in a Plainfield South High School Summer Camp. I understand the participant is required to have their own accident coverage to participate in the camp(s) and realize there is a risk of being injured that is inherent in all sports and activities. I certify that I understand the need for insurance coverage, the inherent risks in participation and give my consent in advance for medical treatment. The undersigned agrees to hold harmless and indemnify Plainfield School District 202, their officers, agents and employees from any and all liability, loss, damages, costs or expenses which are sustained, incurred or required arising out of the actions of my dependent in the course of the camp.
Parent/Guardian Signature
Date
Girls Badminton High School Camp
$55
Football High School Camp
$100
Boys Basketball Youth Camp
$55
Co-ed Soccer Youth Camp
$55
$55
Co-ed Soccer High School Camp
$55
Co-ed Tennis Youth or High School Camp
$55
Boys Track & Field Youth Camp
$100
Boys Basketball High School Camp Co-ed Basketball Youth Camp Girls Basketball Youth Camp
1 wk=$55 or $75 both 1 wk=$55 or $75 both
Girls Basketball High School Camp
$100
Girls Track & Field Youth Camp
$100
Boys Cross Country Youth Camp
$100
Boys Volleyball Youth or High School Camp
$55
Girls Cross Country Youth Camp
$100
Girls Volleyball Youth or High School Camp
$55
Football Youth Camp
$50
Wrestling Youth Camp
$55 Total Enclosed $
PSHS SUMMER SPORTS CAMPS 2015 Questions about registration, please email [email protected]. Questions about a specific camp or sport, please contact the head coach of the program. NOTE: Incoming 9-12 grade students must be registered at PSHS to attend workouts/camps. Sport/Grade Badminton Youth Camp Grades 6-8 Badminton High School Camp Grades 9-12 Boys Basketball Youth Skills Camp Grades 5-6 Boys Basketball Youth Skills Camp Grades 7-8 Boys Basketball High School Camp Grades 9-12 Co-ed Basketball Youth Camp Grades 3-4 Girls Basketball Youth Camp Grades 5-8 Girls Basketball High School Camp Grades 9-12 Boys Cross Country Youth Camp Grades 5-9 Girls Coed Cross Country Youth Camp Grades 5-9 Football Youth Camp Grades 3-8 Football & Weightlifting High School Camp Grades 9-12 Girls Golf Ages 13-18 Coed Soccer Youth Camp Grades 5-8 Coed Soccer High School Camp Grades 9-12 Coed Tennis Youth & High School Camp Grades 4-12 Boys Track & Field Youth Camp Grades 5-9 Girls Track & Field Youth Camp Grades 5-9 Boys Volleyball Youth Camp Grades 6-8 Boys Volleyball High School Camp Grades 9-12 Girls Volleyball Youth Camp Grades 5-8 Girls Volleyball High School Camp Grades 9-12 Wrestling Youth Camp Beginners (1-3 years experience) Wrestling Youth Camp (3+ years experience) Wrestling High School Camp Boys Golf Camp Coed Swim Camp
Fee
Camp Date, Time & Location
Coach
$55
6/8 thru 6/11
10:45AM-12PM
PSHS Field House
$55
6/8 thru 6/11
9-10:30AM
PSHS Field House
$55
6/1 thru 6/4
9-10:45AM
PSHS Main Gym
$55
6/1 thru 6/4
10:45AM-12PM
PSHS Main Gym
$55
5/29 and 6/1 thru 6/5
$55/$75 $55/$75 $100 $100
PSHS Field House & Main Gym PSHS Field House PSHS Main Gym PSHS Field House PSHS Main Gym
3-5PM
6/1 thru 6/4 6/8 thru 6/11 6/1 thru 6/4 6/8 thru 6/11 6/1 thru 6/4 AND 6/8 thru 6/11 6/15 thru 7/30 (Mondays, Tuesdays, Thursdays)
9-11AM 9-11AM
PSHS Main Gym
8-9:30AM
Hammel Woods, Black Rd Entrance
Jason Crowe [email protected] Dan Shuman [email protected] Ken Bublitz [email protected]
6/15 thru 7/30 (Mondays, Tuesdays, Thursdays)
8-9:30AM
Hammel Woods, Black Rd Entrance
$55
6/15 thru 6/18
6-7:30PM
PSHS Football Field
$100
See attached information
See attached
PSHS Stadium
$60
6/8 thru 6/10
10AM-12PM
$55
6/8 thru 6/12
8:30-10AM
PSHS Soccer Field
$55
7/20 thru 7/24
9-11AM
PSHS Soccer Field
$55
6/1 thru 6/5
9-11AM
$100
6/22 thru 7/15 (Mondays & Wednesdays) 6/22 thru 7/15 (Mondays & Wednesdays)
Tim Boe [email protected] Tim Boe [email protected] Tim Boe [email protected] Leah Carter [email protected] Leah Carter [email protected] Leah Carter [email protected]
5-7PM
$100
$100
Todd Kiesewetter [email protected] Todd Kiesewetter [email protected]
Inwood Golf Course Pay $60 fee @ Inwood
PSHS Tennis Courts (players grouped based on ability)
Ken Bublitz [email protected] Caroline Butler [email protected]
Lauren DeWolf [email protected] David Brown [email protected] Caitlin Dodge [email protected]
10:30AM-12PM
PSHS Stadium Track
10:30AM-12PM
PSHS Stadium Track
Jason Crowe [email protected] Janeen Carlberg [email protected] Taryn Surbaugh [email protected]
$55
6/15 thru 6/18
9-11AM
PSHS Main Gym
$55
6/15 thru 6/18
12-2PM
PSHS Main Gym
$55
7/13 thru 7/16
9-11AM
PSHS Main Gym
$55
7/13 thru 7/16
1-3PM
PSHS Main Gym
$55
7/6 thru 7/9
9-10:30AM
PSHS Wrestling Room
Jason Acevedo [email protected]
$55
7/6 thru 7/9
11AM-1PM
PSHS Wrestling Room
Jason Acevedo [email protected]
Email Coach Acevedo Email Coach Boe Register thru PNHS or email Coach Sam
Taryn Surbaugh [email protected] Amanda O’Boyle [email protected] Amanda O’Boyle [email protected]
Jason Acevedo [email protected] Tim Boe [email protected] George Sam [email protected]
PSHS FRESHMAN FOOTBALL CAMP 2015 COST: $100 (includes all dates) BRING: Cleats, Gym shoes, Shorts, T-shirt
FRESHMAN DATES June
8-11
9am - 12pm
Monday thru Thursday
June
15-18
9am - 12pm
Monday thru Thursday
July
6-9
9am - 12pm
Monday thru Thursday
July
13-16
9am - 12pm
Monday thru Thursday
July
20-23
9am - 12pm
Monday thru Thursday
PSHS SOPHOMORE & VARSITY FOOTBALL CAMP 2015 COST: $100 (includes all dates) BRING: Cleats, Gym shoes, Shorts, PSHS T-shirt
SOPHOMORE & VARSITY DATES June
8-11
2pm - 6pm
Monday thru Thursday
June
15-18
2pm - 6pm
Monday thru Thursday
June
22-25
2pm - 6pm
Monday thru Thursday
July
14-16
4pm - 8pm
Tuesday thru Thursday
July
21-23
4pm – 8pm
Tuesday thru Thursday
July
28-30
4pm – 8pm
Tuesday thru Thursday
Required Player & Parent Meeting Freshman, Sophomore & Varsity August 11, 2015 6:30pm @ PSHS Auditorium
