CORVALLIS HIGH SCHOOL SUMMER CAMPS
REGISTRATION 2010
ADDRESS: ______________________________________ GRADE NEXT YEAR: ____________
SHIRT SIZE (Adult): _________ CAMP(S) TO ATTEND: __________________________
I am NOT aware of any health problems that will affect my child’s ability to participate in the camp. I understand that the camp does NOT provide accident insurance and that I am responsible for all my child’s participation. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the coach to hospitalize, and secure proper treatment for my child.
___________ _________________________ ___________________________________
DATE EMERGENCY PHONE # PARENT OR GUARDIAN SIGNATURE
(Do not MAIL after June 15th) 1400 NW Buchanan
MAKE CHECKS PAYABLE TO: Corvallis High School
(Mark sport(s) on check)
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June 21-24 Mon-Thurs ____BASEBALL CAMP 9:00 - 11:30 Ages 8-14 yrs. $45 $50 (at field)
(Taylor Field) (CHS/CV Combined Camp)
June 21-24 Mon-Thurs ____BOYS BASKETBALL 1:00 - 4:00 Incoming 3rd-8th $50 $55 (at door)
(CHS Gym)
(CHS Turf Field)
June 21-24 Mon-Thurs ____VOLLEYBALL 9:00 - 11:30 Incoming 4th-8th $45 $50 (at door)
(Varsity Softball Field)
(CHS Gym)