summer - Sites
2014 ALGOMA U THUNDERBIRDS
www.algomathunderbirds.ca
MER SUOM RTS CAMPS SP
2014 CAMPER REGISTRATION FORM
** NOTE DUE TO GLC CONSTRUCTION, all camps will be located at: Superior Heights C. & V.S. 750 North Street, Sault Ste. Marie, ON, P6B 2C5
CAMP CHOICES (Full day camps run from 9:00 am – 4:00 pm) ⎕ ELITE VOLLEYBALL CAMP July 7–11 $200.00 ⎕ ELITE BASKETBALL CAMP July 21–25 $200.00 ⎕ BASKETBALL BASICS CAMP July 14–18 $175.00
⎕ SOCCER AND BASKETBALL COMBO Ages 6-10: July 28–Aug. 1 9:00am – Noon $100.00 ⎕ SOCCER AND BASKETBALL COMBO Ages 10-14: July 28–Aug. 1 1:00pm – 4:00pm $100.00
ENCLOSED/ATTACHED FEES CAMP FEE:
EXTENDED SUPERVISION HOURS:
$____________
AM OPTION Number of days x $5.00 = $____________
TOTAL:
PM OPTION Number of days x $5.00 = $____________
$____________
T-BIRD SPECIAL ($20.00 DISCOUNT if you register before June 13th)
PAYMENT • PAYMENTS CAN BE MADE BY CASH, DEBIT, CHEQUE, VISA, MASTERCARD & AMERICAN EXPRESS • Please make cheques payable to: George Leach Centre • Please mail completed Registration Forms to: GEORGE LEACH CENTRE ATTN: 2014 SUMMER SPORTS CAMP ALGOMA UNIVERSITY 1520 QUEEN STREET EAST SAULT STE. MARIE, ON P6A 2G4
CAMP REFUND POLICY 1. DEADLINE FOR REFUNDS IS 1 WEEK (7 DAYS) PRIOR TO CAMP START DATE 2. ALL REFUNDS ARE SUBJECT TO A $25.00 ADMINISTRATIVE FEE
GLC STAFF USE ONLY TOTAL: ____________ PAYMENT TYPE: ____________ RECEIPT NUMBER: ____________ DATE RECEIVED: ____________
QUESTIONS...contact our camp hotline: 705.949.2301, ext. 4500 or send us an email: [email protected]
2014 ALGOMA U THUNDERBIRDS
SP
MER SUOM RTS CAMPS
www.algomathunderbirds.ca
2014 CAMPER REGISTRATION FORM
** NOTE DUE TO GLC CONSTRUCTION, all camps will be located at: Superior Heights C. & V.S. 750 North Street, Sault Ste. Marie, ON, P6B 2C5
CAMPER INFORMATION NAME: ADDRESS: CITY: PROVINCE:
POSTAL CODE:
E-MAIL:
PHONE: (
)
DATE OF BIRTH:
HEALTH CARD NUMBER: PLEASE SPECIFY IF YOUR CHILD HAS A MEDICAL CONDITION OR ALLERGY:
EMERGENCY CONTACT INFORMATION NAME: DAYTIME PHONE: (
)
ADDITIONAL INFORMATION T-SHIRT SIZE
YOUTH
S
M
L
ADULT
S
M
L
XL
XXL
THIS IS MY _____ (1st, 2nd etc...) TIME REGISTERING FOR AN ALGOMA UNIVERSITY THUNDERBIRDS SUMMER SPORTS CAMP
RELEASE WAIVER & INDEMNITY IN CONSIDERATION of the acceptance of my application and permission to participate as an entrant for the Algoma University Thunderbird Summer Camp(s) indicated on this form during the dates also indicated. I, for myself, my heirs, executors, administrators, successors and assigns, HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE Algoma University, and all their successors and assigns OF ALL AND FROM ALL CLAIMS, demands, damages, expenses, actions and causes of action whether in law or equity, in respect of any and all injuries, HOWSOEVER CAUSED, and AGREE TO INDEMNIFY all the aforesaid from and against any liability incurred by an or all of them arising as a result of or in any way connected to my participation in this said event. BY SUBMITTING THIS ENTRY, I ACKNOWLEDGE HAVING READ UNDERSTAND AND AGREE to the above WAIVER, RELEASE AND INDEMNITY. I warrant that I am physically fit and suitable for this intended use of the aforementioned event.
SIGNATURE (parent/guardian): DATE: QUESTIONS...contact our camp hotline: 705.949.2301, ext. 4500 or send us an email: [email protected]
www.algomathunderbirds.ca
MER SUOM RTS CAMPS SP
2014 CAMPER REGISTRATION FORM
** NOTE DUE TO GLC CONSTRUCTION, all camps will be located at: Superior Heights C. & V.S. 750 North Street, Sault Ste. Marie, ON, P6B 2C5
CAMP CHOICES (Full day camps run from 9:00 am – 4:00 pm) ⎕ ELITE VOLLEYBALL CAMP July 7–11 $200.00 ⎕ ELITE BASKETBALL CAMP July 21–25 $200.00 ⎕ BASKETBALL BASICS CAMP July 14–18 $175.00
⎕ SOCCER AND BASKETBALL COMBO Ages 6-10: July 28–Aug. 1 9:00am – Noon $100.00 ⎕ SOCCER AND BASKETBALL COMBO Ages 10-14: July 28–Aug. 1 1:00pm – 4:00pm $100.00
ENCLOSED/ATTACHED FEES CAMP FEE:
EXTENDED SUPERVISION HOURS:
$____________
AM OPTION Number of days x $5.00 = $____________
TOTAL:
PM OPTION Number of days x $5.00 = $____________
$____________
T-BIRD SPECIAL ($20.00 DISCOUNT if you register before June 13th)
PAYMENT • PAYMENTS CAN BE MADE BY CASH, DEBIT, CHEQUE, VISA, MASTERCARD & AMERICAN EXPRESS • Please make cheques payable to: George Leach Centre • Please mail completed Registration Forms to: GEORGE LEACH CENTRE ATTN: 2014 SUMMER SPORTS CAMP ALGOMA UNIVERSITY 1520 QUEEN STREET EAST SAULT STE. MARIE, ON P6A 2G4
CAMP REFUND POLICY 1. DEADLINE FOR REFUNDS IS 1 WEEK (7 DAYS) PRIOR TO CAMP START DATE 2. ALL REFUNDS ARE SUBJECT TO A $25.00 ADMINISTRATIVE FEE
GLC STAFF USE ONLY TOTAL: ____________ PAYMENT TYPE: ____________ RECEIPT NUMBER: ____________ DATE RECEIVED: ____________
QUESTIONS...contact our camp hotline: 705.949.2301, ext. 4500 or send us an email: [email protected]
2014 ALGOMA U THUNDERBIRDS
SP
MER SUOM RTS CAMPS
www.algomathunderbirds.ca
2014 CAMPER REGISTRATION FORM
** NOTE DUE TO GLC CONSTRUCTION, all camps will be located at: Superior Heights C. & V.S. 750 North Street, Sault Ste. Marie, ON, P6B 2C5
CAMPER INFORMATION NAME: ADDRESS: CITY: PROVINCE:
POSTAL CODE:
E-MAIL:
PHONE: (
)
DATE OF BIRTH:
HEALTH CARD NUMBER: PLEASE SPECIFY IF YOUR CHILD HAS A MEDICAL CONDITION OR ALLERGY:
EMERGENCY CONTACT INFORMATION NAME: DAYTIME PHONE: (
)
ADDITIONAL INFORMATION T-SHIRT SIZE
YOUTH
S
M
L
ADULT
S
M
L
XL
XXL
THIS IS MY _____ (1st, 2nd etc...) TIME REGISTERING FOR AN ALGOMA UNIVERSITY THUNDERBIRDS SUMMER SPORTS CAMP
RELEASE WAIVER & INDEMNITY IN CONSIDERATION of the acceptance of my application and permission to participate as an entrant for the Algoma University Thunderbird Summer Camp(s) indicated on this form during the dates also indicated. I, for myself, my heirs, executors, administrators, successors and assigns, HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE Algoma University, and all their successors and assigns OF ALL AND FROM ALL CLAIMS, demands, damages, expenses, actions and causes of action whether in law or equity, in respect of any and all injuries, HOWSOEVER CAUSED, and AGREE TO INDEMNIFY all the aforesaid from and against any liability incurred by an or all of them arising as a result of or in any way connected to my participation in this said event. BY SUBMITTING THIS ENTRY, I ACKNOWLEDGE HAVING READ UNDERSTAND AND AGREE to the above WAIVER, RELEASE AND INDEMNITY. I warrant that I am physically fit and suitable for this intended use of the aforementioned event.
SIGNATURE (parent/guardian): DATE: QUESTIONS...contact our camp hotline: 705.949.2301, ext. 4500 or send us an email: [email protected]
