Registration Form Waiver/Medical Release Participant’s Name ________________________ (please fill out individual forms for each participant) Address _______________________________ Phone ________________________________ Age _______ Gender __ Male __ Female Grade Entering (Next Year) (1st – 9th) __________ CAMP PRICING: INSTRUCTIONS: Please place a check next to each camp attending in space provided. Example Below: √ VOLLEYBALL-2 I, _____________________________am the parent or legal guardian of _____________________________, who will participate in the camp(s). I understand and agree that Lindale ISD, its coaches, and camp staff shall not be held liable for any claims, demands, suits and/or expenses arising out of any injuries related in any way to my child’s participation in the camp(s). I knowingly release and waive any and all claims of any nature whatsoever against Lindale ISD and its camp staff as a result of any injury or illness arising out of or related to my child’s participation in the camp(s). June 11—June 13 ____________________ Total the amount due for all camps attending. Sign (Parent or Legal Guardian) If doing more than one camp take 10% off for multiple camps (per camper only).*Does NOT include siblings.* Subtract discount from total amount of camps for total due. Example: If attending volleyball and softball Total amount due for all camps $110.00 Discount for multiple camps $ 11.00 (PER CAMPER ONLY) Total Amount Due $ 99.00 ____________________________________________ Total Amount of Camps $_______ $_______Per Camper Does not include siblings - Pre Registered ONLY Multiple camp discount (10%) __________ Date I give permission for the necessary medical treatment of this student by a physician and/or medical care facility as may be required. In the case of a serious medical emergency, I understand that attempts will be made to contact me. Name of Participant: __________________________ Parent/Guardian’s Name: ______________________ Best Contact Phone No.: _______________________ Alternate Phone No.: __________________________ If contact cannot be made with the above person, please call: Name: ___________________Relation: ___________ Total Amount Due $_______ _____________________________________ Please make checks payable to: Lindale High School _____ Cash ______ Check (check #) __________ Phone: _____________________________________ Medications: ________________________________ Medical Conditions: ___________________________ ***PLEASE return entire brochure to ensure camper is registered for the proper camps*** Return form and payment to: PO Box 370 Lindale, TX 75771 Please circle t-shirt size for camp participant: YS YM YL AS AM AL XL 2XL “To accomplish great things we must not only act, but also dream, not only plan, but also believe.” -Anatole France Lindale High School PO Box 370 Lindale, TX 75771 Phone 903-881-4055 Lindale High School Athletic Phone 903-881-4055 www.lindaleeagles.org TENNIS CAMP GIRLS BASKETBALL GOLF CAMP ____ GOLF — ($25) JUNE 3—5 (entering 1st– 8th grade) – Location: Garden Valley Golf Club Times: 6:00 p.m. to 7:30 p.m. each day. ____ GIRLS BASKETBALL CAMP ($55) JUNE 3—5 (entering K– 9th) – Location: JH Gym Times: 8:30 a.m. to 11:30 a.m. each day. ____ Session I ____ Session II June 10 – 13 June 17—20 Entering 2nd thru 3rd ($30) Entering 4th thru 6th ($60) Entering 7th thru 9th ($80) SOCCER CAMP 10:30 – 11:15 a.m. 10:30 a.m. to Noon 8:00 to 10:00 a.m. Location: HS Tennis Courts VOLLEYBALL CAMP ____ VOLLEYBALL-1 ($45) JUNE 17 —19 (entering 3rd– 6th) – Location: JH Gym Times: 9:00 a.m. to 10:30 a.m. each day. ____ VOLLEYBALL-2 ($55) JUNE 17 —19 (entering 7th—9th) – Location: JH Gym Times: 10:00 a.m. to 1:00 p.m. each day. FOOTBALL CAMP ____ SOCCER—1 ($40) JUNE 3—5 (entering 1st– 3rd) – Location: Junior High Times: 5:30 p.m. to 6:45 p.m. each day. CAMP INFORMATION ____ SOCCER—2 ($50) JUNE 3—5 (entering 4th—9th) – Location: Junior High Times: 6:30 p.m. to 8:30 p.m. each day. PLEASE MAKE CHECK FOR CAMPS PAYABLE TO: LINDALE HIGH SCHOOL C/O ATHLETICS PO BOX 370 LINDALE, TX 75771 SOFTBALL CAMP Registration Information: ____ FOOTBALL—1 ($60) JUNE 24 — 26 (entering 1st– 6th) – Location: Junior High Times: 9:00 a.m. to 11:30 a.m. each day ____ SOFTBALL CAMP ($55) JUNE 10—12 (entering K—9th)) – Location: HS Softball Field Times: 9:00 a.m. to 12:00 p.m. each day. ____ FOOTBALL—2 ($25) JULY 30—AUG 1 (entering 7th—9th only) – Location: Junior High Times: 9:00 a.m. to 11:30 a.m. each day BASEBALL CAMP BOYS BASKETBALL ____ BOYS BASKETBALL—1 ($55) JUNE 10—12 (entering 1st– 5th) – Location: JH Gym Times: 9:00 a.m. to 11:30 a.m. each day. ____ BOYS BASKETBALL—2 ($55) (entering 6th—9th) – Location: JH Gym Times: 1:00 p.m. to 3:30 p.m. each day. ____ BASEBALL—1 ($45) JUNE 17—19 (entering 1st– 6th) – Location: HS Baseball Field Times: 8:30 a.m. to 10:30 a.m. each day. ____ BASEBALL—2 ($55) JUNE 17—19 (entering 7th—9th) – Location: HS Baseball Field Times: 10:30 a.m. to 1:00 p.m. each day. JUNE 10—12 www.lindaleeagles.org Please fill out one form per participant. (All for ms may be mailed together with one payment.) Pre-Registration preferred: deadline is May 14, 2019 Walk-ups are welcome the day of camp. Discounts will be offered ONLYto pre-registered participants. Discounts are PER CAMPER ONLY. (NOT siblings). Walk-ups will be FULL PRICE. Walk-ups will receive a camp t-shirt dependent on availability. CAMPER’S NEEDS: Proper Shoes Proper Attire Water Bottle Sunscreen (Outdoor Camps) Money for Concession (optional)