JOIN US FOR FUN AND TRAINING

                      AT THE ST. JOHN THE BAPTIST SUMMER CAMPS

      BOYS AND GIRLS

                      CROSS COUNTRY

                   And/Or

                      TRACK & SPEED

                SUMMER CAMPS

                   Open to Boys and Girls entering 8^th thru 12^th Grade

       Monday – Friday from 9:00 am to 2:00 pm

                       Athletic trainer on site

Track & Speed Camp: June 27^th – July 1^st 2011

The cost is $225, which includes lunch, t-shirt and a gym bag.  Athletes will focus on the basics of SPEED Development for all sports, and on the basics of the following Track Events: Middle Distance Speed – Sprinting – Hurdling

Cross Country Camp: July 18^th – 22^nd 2011

The cost is $225, which includes lunch, t-shirt and a gym bag.  The camp will concentrate on preparing runners for their upcoming fall season.  Campers will build on their current knowledge and/or learn the basics of distance running.  There will be a heavy concentration on running form, building endurance speed, race strategy and having a plan for the rest of your summer.

Follow the teams at WWW.COACHWOOD.ORG

Registration Form for XC/T&F

St. John the Baptist D.H.S. Summer Camp

(Complete both sides of this form & return with your payment)

Campers Name: _________________________________________

Date of Birth: ___________________________________________

Age: ____________________  Grade as of 9/11: _______________

Parent/Guardian Name: ___________________________________

Address: ________________________________ Apt. ___________

City: __________________________ State: _______ Zip: ________

Home Telephone: _________________________________________

Emergency Contact #1: Name: _______________________________

                                     Phone Number: _______________________

Emergency Contact #2: Name: ______________________________

                                     Phone Number: _______________________

Permission Release: I hereby give my consent for medical treatment deemed necessary by medical personnel designated by school authorities and/or for transportation to an emergency room for treatment of any illness/injury resulting from his/her participation.

___________________________________________________________

Parent/Guardian Signature                                            Date

MEDICAL RELEASE FORM

Return your application now to reserve your spot.

(The Medical Release form may be sent separately)

Date of last Physical: _________________________________________

I certify that this child is physically fit to participate in St. John the Baptist Sports Camp without restrictions.

___________________________________________________________

Signature of Physician                                                                        Date

Is the child is taking medication at this time?  ___Yes  ___No

If yes, list medications here: ____________________________________

_____________________________________________________________

Is there anything else concerning health of this child that the Athletic Trainer should know in order to meet his/her needs?  ___Yes  ___No

If yes, explain: _________________________________________________

_____________________________________________________________