Summer Pride
Piedmont Cross Country
Summer Pride $50
includes T-shirt
Grades 6th – 12th
Piedmont High School or Stout Field Track Monday-Friday June 13-July 29 Start time 6:30 AM
Summer training is the foundation for a successful cross country season and is also important for a runner’s long-term development. As a coach and parent, I understand that other activities, commitments, and family vacations will not allow all athletes to attend every session. The above times are the one that I will be available for organized activities. Attendance at as many sessions as possible is encouraged, as it will be beneficial to both the individual runner and the team.
Athletes will work on Distance and interval training, improving flexibility, and general strength and conditioning Instruction and supervision will be supplied by Cross Country coach Kelly Beck
Piedmont Cross Country Summer Pride REGISTRATION FORM /
Athlete’s Name____________________________________ Grade (2016-2017 school year) __________________ Parent’s Name (s) ____________________________________________________________________________________ Cell phone # Player ________________________________ Parents ______________________________________
T-shirt Size (circle one) Adult: S M
L
XL
Parental Consent I certify that my child has been examined by a physician and has been found to be in good health and able to compete in all camp activities without restriction. In addition, I acknowledge that I have medical insurance to cover the cost of any injury or illness that may occur during my child’s participation in this camp. Furthermore, I authorize the staff of Piedmont Public Schools to act for me according to their best judgment in an emergency requiring medical attention. I hereby release the Wildcat Coaches and the Piedmont Public Schools from all claims resulting from any injury my child may sustain while attending this camp. ______________________________________ Parent/ Guardian (Print Name)
__________________________________________________ Parent/ Guardian (Signature) date
Contact Information Kelly Beck: 405-388-1217 Make Checks payable to: Piedmont Cross Country Send Registration / Payment to: Piedmont High School Attn: Piedmont Cross Country 1055 Edmond RD NW Piedmont, OK 73078
Office Use Only Date _________________ Amount Paid __________ Cash Check # ______________
Summer Pride $50
includes T-shirt
Grades 6th – 12th
Piedmont High School or Stout Field Track Monday-Friday June 13-July 29 Start time 6:30 AM
Summer training is the foundation for a successful cross country season and is also important for a runner’s long-term development. As a coach and parent, I understand that other activities, commitments, and family vacations will not allow all athletes to attend every session. The above times are the one that I will be available for organized activities. Attendance at as many sessions as possible is encouraged, as it will be beneficial to both the individual runner and the team.
Athletes will work on Distance and interval training, improving flexibility, and general strength and conditioning Instruction and supervision will be supplied by Cross Country coach Kelly Beck
Piedmont Cross Country Summer Pride REGISTRATION FORM /
Athlete’s Name____________________________________ Grade (2016-2017 school year) __________________ Parent’s Name (s) ____________________________________________________________________________________ Cell phone # Player ________________________________ Parents ______________________________________
T-shirt Size (circle one) Adult: S M
L
XL
Parental Consent I certify that my child has been examined by a physician and has been found to be in good health and able to compete in all camp activities without restriction. In addition, I acknowledge that I have medical insurance to cover the cost of any injury or illness that may occur during my child’s participation in this camp. Furthermore, I authorize the staff of Piedmont Public Schools to act for me according to their best judgment in an emergency requiring medical attention. I hereby release the Wildcat Coaches and the Piedmont Public Schools from all claims resulting from any injury my child may sustain while attending this camp. ______________________________________ Parent/ Guardian (Print Name)
__________________________________________________ Parent/ Guardian (Signature) date
Contact Information Kelly Beck: 405-388-1217 Make Checks payable to: Piedmont Cross Country Send Registration / Payment to: Piedmont High School Attn: Piedmont Cross Country 1055 Edmond RD NW Piedmont, OK 73078
Office Use Only Date _________________ Amount Paid __________ Cash Check # ______________
