Wauwatosa School District - Recreation Department 12011 West North Avenue Wauwatosa, WI 53226
(414) 773-2900 (414) 773-2920 (fax)
Sport Camps
www.tosarec.com
ALL CAMPS ARE GRADE CHILD IS COMPLETING DURING THE ‘15 -’16 SCHOOL YEAR Girl’s Basketball Camps - East Girl’s BB Staff At Tosa East High School $44 / $59 Non-resident Gr. 3 - 4 T - Th 6/14 - 6/16 9:00 - 10:00am Gr. 5 - 8 T - Th 6/14 - 6/16 10:30am - 12noon Boy’s Basketball Camps - East Boy’s BB Staff At Tosa East High School Gr. 3 - 4 M - F 6/20 - 6/24 1:00 - 2:30pm Gr. 5 - 8 M - F 6/20 - 6/24 2:45 - 4:15pm
468030 - 05 468030 - 06
468030 - 01 468030 - 02
Boy’s and Girl’s 3-on-3 Basketball League (Instructional) - East Boy’s BB Staff
At Tosa East High School Gr. 4 - 5 M - Th 7/18 - 7/28 Gr. 6 - 8 M - Th 7/18 - 7/28
12:45 - 2:15pm 2:30 - 4:00pm
Basketball Skills Camp - West BB Staff At Tosa West High School Gr. 6 - 8 Boys MTW 6/20 - 6/29 Gr. 5 - 8 Girls M - Th 7/25 - 7/28
468080 - 01 468080 - 02
12:45 - 2:15pm 12:45 - 2:15pm
468060 - 01 468060 - 03
Junior Skills Camp - West Boy’s BB Staff At Whitman Middle School Gr. 2 - 5 Boys MTW 7/18 - 7/27 12:45 - 2:15pm
468060 - 05
Boy’s and Girl’s Intensive Shooting Camp - West Boy’s BB Staff At Whitman Middle School $56 / $71 Non-resident Gr. 3 - 5 M - Th 7/11 - 7/14 2:30 - 4:00pm 468090 - 01 Gr. 6 - 8 M - Th 7/11 - 7/14 12:45 - 2:15pm 468090 - 02 Boy’s Basketball Camps - West Boy’s BB Staff At Whitman Middle School Gr. K5 - 1 T - F 6/14 - 6/17 9:00 - 10:00am Gr. 2 - 3 T - F 6/14 - 6/17 10:15 - 11:45am Gr. 4 - 5 T - F 6/14 - 6/17 12:15 - 1:45pm
468010 - 03 468010 - 04 468010 - 05
Girl’s Basketball Camps - West BB Staff At Fisher Building Gym Gr. K5 - 1 M - Th 7/18 - 7/21 9:00 - 10:00am Gr. 2 - 3 M - Th 7/18 - 7/21 10:15 - 11:30am Gr. 4 - 5 M - Th 7/18 - 7/21 11:45am - 1:00pm
Boy’s and Girl’s Volleyball Camps - East Girl’s VB Staff At Tosa East High School Gr. 3 - 5 M - Th 8/1 - 8/4 6:00 - 7:30pm 468120 - 01 Gr. 6 - 8 M - Th 8/8 - 8/11 6:00 - 7:30pm 468120 - 02 Boy’s and Girl’s Volleyball Camps - West Girl’s VB Staff At Tosa West High School Gr. 3 - 5 T - F 6/14 - 6/17 9:00 - 10:00am 468110 - 03 Gr. 6 - 8 T - F 6/14 - 6/17 10:15 - 11:45am 468110 - 01 Football Camp - West Football Staff At Tosa West High School $44 / $59 Non-resident Gr. 4 - 7 M - W 7/18 - 7/20 5:00 - 7:00pm 468300 - 01 Baseball Camp - West Boy’s Baseball Staff At Whitman Middle School - Baseball Field $30 / $40 Non-resident Gr. 2 - 5 Sa 4/30 - 5/7 8:30 - 9:45am 368700 - 01 Baseball Pitching Camp Gr. 5 - 8 Sa 4/30 - 5/7 9:45 - 10:15am 368700 - P1 Girl’s Fastpitch Softball Camps - East Girl’s Staff At Longfellow (field/80th Street) Gr. 3 - 5 Girls M – Th 6/13 - 6/16 9:00 - 10:15am Gr. 6 - 8 Girls M – Th 6/13 - 6/16 10:15 - 11:45am
468750 - 01 468750 - 02
Soccer Academy - West Boy’s/Girl’s Soccer Staff At Whitman Field Gr. K4 - 2 Boys/Girls M - F 6/13 - 6/17 5:30 - 7:00pm 468450 - 01 Gr. 3 - 6 Boys/Girls M - F 6/13 - 6/17 5:30 - 7:00pm 468450 - 02 Gr. 7 - 11 Boys M - F 6/13 - 6/17 9:00 - 11:00am 468440 - 01 Soccer Training - East Boy’s Soccer Staff At Tosa East North Field Gr. K4 - 2 Boys/Girls M – Th 6/20 - 6/23 6:00 - 7:45pm 468460 - 01 Gr. 3 - 5 Boys/Girls M – Th 7/11 - 7/14 6:00 - 7:45pm 468460 - 02 Gr. 6 - 7 Boys/Girls M – Th 7/11 - 7/14 6:00 - 7:45pm 468460 - 04 Gr. 8 - 11 Boys/Girls M–F 7/18 - 7/22 6:00 - 8:00pm 468461 - 03
Register for all camps NOW: Go online: www.tosarec.com, or mail, fax or drop off the registration form on the reverse side/pg. 2.
Recreation Department Registration Form
One household only – Please print clearly in ink. Each adult participant must sign below. The signature of a parent or legal guardian is required for youth registration.
I, the undersigned or parent/guardian of the individual(s) named below, do hereby agree to indemnify and hold harmless the Wauwatosa School District and its employees, officers and agents from and against any and all liability resulting from participation in the activities listed below. I understand that the program(s) in which I am enrolling, like all activity programs, has some inherent risk, for which I agree to assume the liability. Furthermore, the individuals named herein are in good physical health appropriate for the activities in which they will be participating. I understand that the Wauwatosa School District does not provide accident insurance.
Signature (Participating adult OR parent/guardian of minors listed below)
Signature (Participating adult #2)
Household Information Name(s) of Head(s) of Household:
Email Office Use Only
Address
City
Home Phone
Work Phone
ZIP
$ ___________ Date_________
Cell Phone
Initials _______
Please list more than one choice of a class. If your first choice is filled, we will try your second choice. If both are filled, we will contact you. Participant’s Name Grade Program Choice Class Name Activity Number (Include First, MI and Last Name) Date of Birth 2015-16 1st
Choice
Fee
Name:
Alternate
___________--___
1st
___________--___
Choice
Alternate
___________--___
1st Choice
___________--___
Alternate
___________--___
1st
___________--___
Choice
Alternate
Male
Female
$
Male
Female
$
Male
Female
$
Male
Female
$
Name:
Name:
Name:
___________--___
T-Shirt (if applicable)
Name:
YS YM YL AS AM AL XL
Name:
YS YM YL AS AM AL XL
T-Shirt (if applicable)
Name:
YS YM YL AS AM AL XL
Name:
YS YM YL AS AM AL XL
If enrolling in Orchestra / Band / Jazz, please list instrument: _______________________
MasterCard VISA
School
T-shirt will be indicated in the program description. T-shirt size will not be guaranteed after 14 days prior to start date.
Special considerations (medical, physical):_______________________________________________________________
My child will need physical assistance and/or additional supervision to participate. 3 digits ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ exp. Date _____/_____ on back ____ ____ ____ Cardholder’s Signature ______________________________________
Fax to: (414)773-2920 OR Mail to: Wauwatosa Recreation Department 12011 W. North Avenue, Wauwatosa, WI 53226 Make all checks payable to Wauwatosa Recreation Department. Please note: For program promotion purposes, photographs may be taken of participants. If you do not wish to have your photo taken, please notify the photographer or instructor.