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INDIANA SWIMMING CAMPS

June 1-6, Bloomington, Indiana
at Indiana University

ADDITIONAL INFORMATION:

** This summer, we are offering an Elite segment as an option for 13 years and older. This segment of camp will feature an extra training session with an IU coach in the morning from 6-8 a.m. To learn more and participate in this Elite group, contact the IU Swim Camp soon after you register to reserve your spot! Space is limited!

Questions about age restrictions? Contact us at iuswimcamp@comcast.net


FOR REGISTRATION INFORMATION/INQUIRIES:

  • Office: 812-333-5684
  • E-Mail: For Further Information!
  • Mailing Address: Indiana Swim Camp; 2344 Linden Hill Rd.; Bloomington, IN 47401
  • Download 2014 Camp Brochure - Click Here!
  • Register On-Line: Now Available!


  • Add 6% for on-line registrations

    For questions about age restrictions, please E-Mail Us


All IU Camps are open to all and any entrants



2014 IU Swim Camp Session I

INDIANA SWIM CAMP SESSION I REGISTRATION - JUNE 1-6, 2014

Registration Note - Registrations will be accepted until the camp is full. No refunds or cancellations will be accepted after May 15, 2014. Cancellations received before May 15th will receive a refund of the registration fee minus a $75 administrative fee. No refunds will be made if a child is withdrawn after May 15.

If you have questions, please call 812-333-5684.

Please complete the form below and submit camp payment.

 
Payment Option*
 Credit Card
 Mailing in Check*
 
* If you are mailing in a check, completely fill out this form and click on the 'register' button at the bottom of the page. On the next page, you can exit your web browser. Then, you can mail in your check made payable to IU Swim Camp to: IU Swim Camp; 2344 Linden Hill Rd; Bloomington, IN 47401. As a reminder, overnight campers' rate is $650, the day campers' rate is $515, and the Water Sessions Only rate is $300. In the memo line of your check, please indicate the name or names that payment is for, and which session you have signed up for.  

INTERNAL USE - Campers DO NOT fill out next two lines  
Check #1 Received (Check #, Date, Amount)
 
Balance Due
 
Camp Option*
 Overnight
 Day Camp
 Water Sessions Only
 
Camper's Name (Last, First)*
 
Parent's E-Mail Address*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Parent/Guardian Name(s)*
 
Camper's Home Phone #*
 
Mother's Cell Phone #
 
Father's Cell Phone #
 
Age*
 
High School Graduation Year*
 
Birthdate (Month/Day/Year)*
 
Gender*
 Male
 Female
 
Club Team Name
 
Club Coach Name
 
Roommate Preference
 
I'd prefer a triple or single room if it is available
 Triple
 Single
 
Best Time (in yards): 50 Free
 
Best Time (in yards): 100 Free
 
How did you hear about the IU Swim Camp?*
 I am a Returning Camper
 Internet Search
 Coach Referral
 Brochure
 Friend
 Word of Mouth
 Other
 

MEDICAL CONSENT FORM
In order to enable the IU Health Center of Indiana University and/or other health facilities in Bloomington to provide prompt care to your minor son or daughter, please read and complete the below consent form. This way we can help your child without delay should an emergency occur. Additionally,please send us a copy of your child's insurance card and enclose it when returning all forms prior to your child's arrival at swim camp.
 
Name of Minor*
 
Insurance Company*
 
Policy Number/Group #*
 
Food Allergies
 
Drug Reactions
 
Present Medication (include dosage)
 
Date of Last Tetanus Toxoid
 
Any past or present illness or other information that would be useful in the event that treatment is needed
 
Name and # to call if parent can't be reached*
 

* I grant permission to the director, assistants, or other persons responsible for said minor to act on my behalf for said minor in granting permission for evaluation and treatment of medical problems. I understand that should a major medical problem arise, an attempt will be made to notify me by telephone. In the event that I cannot be reached, I hereby give my consent to such treatment as deemed necessary (including surgery, x-ray examinations, and anesthesia to be rendered to said minor by a licensed physician or nurse)  

* I do herby, waive, release and discharge the Indiana University Swim Camp and respective staffs, employees, successors and assigns,of and from any and all rights and claims for damage resulting from injury of my person or property, which may be or arising out of my travelling to or from the Indiana University Swim Camp. I/we, the parents/guardians, agree to the above waiver and release and we join therein.  

* By my submission of this registration, I represent that I am either 18 years of age or older, or that I am the parent or legal guardian of the registrant (if he/she is under age 18). I represent I have read the terms of the Privacy Policy, that I understand the manner in which the information collected about the registrant may be used, and that I agree to the use of the registrant’s personally identifiable information in the manner described in the Privacy Policy.  

Parent/Guardian Name*
 


PAYMENT OPTIONS
Please select your payment option by indicating a '1' in the quantity field. We need a registration form and consents completed for each participant.

Note: A charge from Hoosiersportscamps.com will appear on your credit card for your on-line registration. However, if any of the IU Swim Camps are canceled for any reason, refunds must be collected directly from IU Swim Camp, 2344 Linden Hill Rd., Bloomington, IN 47401. Phone 812-333-5684.
 
Qty 
 $689.00 Option 1 - Overnight Camper

 $545.00 Option 2 - Commuter Camper

 $318.00 Option 3 - Water Sessions Only