SUMMER SPORTS CAMPS

2021

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Assumption of Risk

In consideration of being permitted to participate in the camp conducted by

Collierville Schools:

List Name of Participating Camp _______________________________________

Parent/Guardian Name: I, _______________________________________________ do hereby

agree to assume all the risks and responsibilities relative thereto. Participant Name: ________________________________________ Further,

I hereby represent to the Collierville Schools that my child is capable of

participating in this activity and understand that participants are strongly

encouraged to consult a physician prior to any participation.

And, I hereby recognize the risks of illness and injury inherent in any

activity based program, and I am participating upon the express agreement

and understanding that I do for myself, my heirs, and personal

representatives agree to defend, hold harmless, indemnity, release, and

forever discharge Collierville Schools, its respective ofFicers, agents,

representatives and employees from and against any and all rights, claims,

demands, and actions or causes of actions RR including attorney's fees

and court costs RR on account of damage to personal property, personal

injury, or death which may result from any participation in the recreation,

athletic, cheerleading, dance program, clinic, or camp.

By my signature below, I hereby conFirm my understanding of this release

statement holding Collierville Schools harmless, and acknowledge that

they do not carry health and accident insurance to cover participants of this

program and that participants are strongly encouraged to obtain full insurance coverage prior to participation in the camp

Parent/Guardian Signature:

____________________________________________Date:____________________________________________

colliervillecamps.com

CAMP APPLICATION Online registration is only accepted. Please register at colliervillecamps.com. Emergency needs may drop off application below:

Jeff CurtisDistrict Athletic Director

Collierville Schools145 W. Poplar Ave.

Collierville, TN 38017

Participant Name: ___________________________Name of Camp: _____________________________Camp Dates: ________________________________2021-2022 Grade Level: ______________________2021-2022 School Attending: _________________Address: ____________________________________City, State: __________________________________Parent/Guardian Phone 1: ____________________Parent/Guardian Phone 2: ____________________E-mail: _____________________________________$ Total Enclosed: ____________________________Check Number: _____________________________Youth T-Shirt Size: ___________________________or Adult T-Shirt Size: _________________________*T-Shirts are only guaranteed with registration two weeks prior to camp for ordering purposes

Parent/Guardian Signature: ____________________________________________Date:____________________________________________

Questions: Pleas visit colliervillecamps.com and click on the sport that you are interested in attending. Head Coach contact information is listed at the bottom.

SUMMER SPORTS CAMPS AND DATES - *GRADE LEVEL IS 2021-2022 SCHOOL YEAR

Date Camp 21-22 Grades Time Location CostJune 1 - June 4 Baseball 1st-5th 9am-12pm CHS $150 June 1 - June 4 Volleyball 1st-5th 9am-12pm CHS $150June 1 - June 4 Volleyball 6th-9th 1pm-4pm CHS $150June 7 - June 10 Baseball 6th-9th 9am-12pm CHS $150June 7 - June 10 Tennis (Boys/Girls) 1st-5th 10am-12pm CHS $150June 7 - June 10 Tennis (Boys/Girls) 6th-9th 1pm-3pm CHS $150 June 7 - June 10 Softball 1st-9th 1pm-4pm CHS $150June 7 - June 10 Steppers 1st-9th 1pm-3pm CHS $150 June 14 - June 17 Wrestling 1st-9th 9am-12pm CHS $150June 14 - June 17 Boys Basketball 1st-9th 1pm-4pm CHS $150 June 14 - June 17 Pom and Hip-Hop 1st-5th 9am-12pm CHS $150 June 14 - June 17 Softball 1st-9th 1pm-4pm CHS $150 June 21 - June 24 Football 1st-9th 9am-12pm CHS $150June 21 - June 24 Girls Basketball 1st-5th 9am-12pm CHS $150June 21 - June 24 Girls Basketball 6th-9th 9am-12pm CHS $150 July 12 - July 15 Pitchers and Catchers 1st-9th 9am-12pm CHS $150 July 12 - July 15 Boys Lacrosse 1st-9th 9am-12pm CHS $150 July 12 - July 15 Girls Lacrosse 1st-9th 9am-12pm CHS $150 July 12 - July 15 Cheerleading 1st-5th 9am-12pm CHS $150July 12 - July 15 Soccer (Boys/Girls) 1st-5th 9am-12pm CHS $150July 12 - July 15 Steppers 1st-9th 1pm-3pm CHS $150July 19 - July 22 Boys Basketball 1st-5th 9am-12pm CHS $150 July 19 - July 22 Boys Basketball 6th-9th 1pm-4pm CHS $150

$25 off if registered by May 5th

COLLIERVILLECAMPS.COM

FOR CAMP DETAILS AND TO REGISTER PLEASE VISIT:

E-mail communication with camp details will be sent out to participants, by the Head Coach, closer to camp dates