Building Strength, Speed, and Agility

Summer Academy runs Monday-Friday from June 30th thru August 8th

Cost: $45.00

Location: CHS Weight Room and Turf

Make checks payable to: Summer Academy

Name:__________________ Home Phone:

Address: _____________________________________________________________

Grade Completing: __________

Session is 8:00am until 10:00am each day (1 hour weight room and 1 hour CHS turf)

Parent or Guardian Consent

I am NOT aware of any health problems that will affect my child’s ability to participate in the summer academy. I understand that the academy 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 instructor to hospitalize and secure proper treatment for my child.

Date: _ Parent/Guardian Signature: _______________________

Phone number where parent can be reached during selected session: ____________________