Panthers

All Sports Camp

2016
6 weeks of All Play, All Day
NEW!

AOOL WEEK June 20-24

Week 1- June 27 July 1

Week 4- July 18-22

NEW!

Week 2- July 5 July 8

Week 3- July 11-July 15

Week 5- July 25-29

Week 6- August 1-5

9:00-3:00
Monday through Friday

ACTIVITIES INCLUDE
A variety of games and sports including;
kick the can, capture the flag, water balloon toss, dry-dry-wet,
soccer, homerun derby, guard the pin, basketball, Olympic Day and so much more!
If your child likes gym class, your child will love Panthers All Sports Camp!

Air Conditioned Gym!!!

For boys and girls entering Kindergarten through 8th grade
Cost-$230 per week

Early Bird Registration

Anyone who registers by March 17, 2015 gets a discounted rate of $210 per week

Just send in your registration form and $75 registration fee per week by March 17 th to receive your discount.
($75 registration fee is

non refundable and will be deducted from your weekly price.)

Please go to www.panthersallsportscamp.com for more info.

Childs Name ____________________

Email address___________________________
(Please print so it can be easily read.)

Panthers All Sports Camp Registration Form

o

AOOL Week June 20-24

Week 1- June 27-July 1

(Please check the week/ weeks you are registering

and send in $75 per week/per child)

Please return to:

Week 2- July 5-July 8(4days)

39 Waldron Ave

Week 3-July 11- July 15

Glen Rock NJ 07452

Week 4- July 18-July 22

Week 5- July 25-July 29
Week 6- August 1-August 5

Cost per week is $230

(July 5th week $200)

Early Bird Registration

Anyone who registers by March 17, 2016 gets a discounted rate of $210 per week (July 5th week $180)
Send in your registration form and $75 registration fee per week by March 17 th to receive your discount.

Registration is $75 per child/ per week. It is non-refundable and will be deducted from the weekly price.
Parents Name______________________
Address _________________________

City__________________

Home number_____________________

Cell phone number_______________________

Childs Grade in Sept.2016 ____

Boy or Girl

Zip_________

School_______________________________

T-shirt size (Please circle a size.)

YS

YM

YL YXL

AS AM

Allergies____________________
In case we are unable to reach you please provide an emergency contact.
Emergency contact ___________________

Relation to child _____________________

Emergency contact phone number __________________

Doctors name_______________

Doctors phone number_____________

RELEASE AND WAIVER

WAIVER: I hereby authorize the staff of Panthers All Sports Camp to act for me according to their best
judgment in any emergency requiring medical attention for my child(ren), However, I realize that no matter

how well the campers are supervised, there is a potential for accidents and injury. I recognize
these risks and allow my child(ren) to participate in Panthers All Sports Camp.
PARENTS SIGNATURE____________________________________________

Date__________________________________