FCAhas

Registration Form
Camper Name:_ ___________________________________________________________________________________
Parent or Guardian:_ _______________________________________________________________________________
Address:_ ________________________________________________________________________________________
City:______________________________________________________ State ___________ Zip:___________________
Age:_____________
q Male q Female
Birthday: _______________________ T-Shirt Size: ________
Home Phone:_ _____________________________________ Work Phone:____________________________________
Mobile Phone: ____________________________________
What school do you currently attend? _________________________________________________________________
I have read and fully understand the Permission/Waiver form.
Signature of Parent or Guardian:______________________________________________Date____________________
Presents
The 13th Annual
SunUp/SunDow
Sports Day Cam n
p
June 8-11, 2009
Boys & Girls Age
(Age limit is strict
ly
Dear Parents,
about the
ers all of your questions
We hope this form answ
any further
s Day Camp. If you have
Sunup / Sundown Sport
A office
e to call us at the state FC
questions, please feel fre
ety of all
x: 841-1049) For the saf
at (405) 841-1048. (fa
r leave all
hte
ug
that your son or da
campers and staff, we ask
to
ht dismiss
home. We reserve the rig
backpacks and bags at
y.
who violates camp polic
any camper from camp
t
m and the health consen
Fill in the registration for
form and mail both to:
FCA
3809 S. Blvd.
Edmond, OK 73013
ward
for the camp, we look for
This will be the 13th year
!
mp
being a part of the ca
to your son or daughter
s 11-14
enforced.)
Camp Location:
Douglass High S
cho
ol
900 N. Martin Lu
ther King Blvd.
Oklahoma City, O
klahoma
Bus transportati
on
will be provided
this year.
Each camper will
receive breakfast
, lunch,
FCA t-shirt and sp
orts New Testam
ent Bible.
www.okfca.org
non-denominational
is an
Christian Athletesath
The Fellowship of
letes and coaches and all
to
ng
been “presenti
s
ha
t
t as
tha
n
tio
iza
an
org
Christian
eiving Jesus Chris
nge and adventure of rec
challe
d in the fellowship of the
whom they influence, the
in their relationships an
Him
g
vin
ser
,
rd
Lo
d
Savior an
church” since 1954.
Consent for Treatment and Release Form
Sunup/Sundown Sports Day Camp
June 8-11, 2009
Parent/Guardian – IT IS IMPORTANT that you complete the following health record. Your son/daughter must mail
it in with the completed registration form (on the other side of this paper) or present it at the time of registration on
site. Please print.
Name of Camper (Last, First, Middle):_________________________________________________________________
Address: _ ______________________________________________________________________________________
:
Clinics that are offered
City:_ ___________________________________________________ State ___________ Zip:___________________
Football
Basketball
Soccer
Cheerleading
Volleyball
Age: _______
Date of Birth:_____________________
1._Does the camper have any known physical limitations or illness, which might interfere with his/her participation in
strenuous activity? If so, please explain._ _____________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
provided.
Sports equipment will be
ve non-marking soles.
ha
Basketball shoes need to
2. Does the camper have any severe allergies or reactions to any drugs or medicines? If yes, please attach form.
3._Is the camper presently taking any medications or on any special diet or exercise restrictions? If yes, please attach
form. (Name of medications, dosage, etc.)
ct you on how to
staff of coaches to instru
y
alit
qu
top
a
er
eth
tog
ged to participate
has put
u choose. You are encoura
yo
ort
sp
r
ve
ate
wh
in
ll be
improve your skills
as possible. Also, you wi
clinics during the week
s
ort
sp
ide you in
the
gu
of
ll
wi
ny
t
ma
tha
as
in
ddle Leader)
(Hu
or
sel
un
co
at
gre
a
th
each day with
grouped for the week wi
You will be challenged
re.
mo
d
an
ns
tio
eti
mp
co
devotions, huddle time,
d music.
an
rs
ke
ea
sp
al
inspiration
FCA
Camp Schedule:
0 am – 12:45 pm
Monday - Thursday 8:3
8:30 a.m.
9:00 a.m.
9:30 a.m.
11:30 a.m.
12:15 a.m.
12:45 p.m.
Breakfast
Morning Glory
Clinics / Competition
Assembly
Lunch
Dismiss/Buses Loading
Bus Stops:
l
Millwood Middle Schoo
ool
Jarmon Junior High Sch
Mayfield Middle School
.
(Pick ups are at 8:00 a.m
p.m.)
0
1:0
at
-off
Drop
4. Indicate the date of last TTB (Tetanus, Dip Tox, Booster Shot)_ __________________________________________
Release of Liability
By signing this permission/waiver form, I expressly
warrant that the camper named above is capable of
withstanding both the physical and mental demands
of the activities discussed above. I also expressly
assume all risks of the camper participating in the
activities, whether such risks are known or unknown
to me or the camper at this time. I further release
this organization and it’s leaders, employees,
volunteers and agents from any claim that I may
have against them in the result of injury or illness
incurred during the course of participation in
the activities. This release of liability shall include
(without limitation) any claims of negligence or
breach of warranty. This release of liability is also
intended to cover all claims that members of the
camper’s family or estate, heirs, representatives or
assigns may have against this organization or it’s
leaders, employees, volunteers or agents.
I further agree to indemnify and hold harmless this
organization and it’s leaders, employees, volunteers
or agents from any and all claims arising from the
camper’s participation in its activities and programs or
as a result of injury or illness during such activities.
First Aid and Emergency
Medical Treatment
I recognize that there may be occasions where
the camper named above may be in need of first
aid or emergency medical treatment as a result of
an accident, illness or other health conditions or
injury. I do hereby give permission for agents of this
organization to seek and secure any needed medical
attention or treatment for the camper named above
including hospitalization, if in the agents opinion such
need arises. In doing so I agree to pay all fees and costs
arising from this action to obtain medical treatment.
I give permission for attending physician(s) and other
medical personnel to administer any needed medical
treatment, including surgery and again, I agree to pay
for the medical treatment.