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INDIANA CROSS COUNTRY AND TRACK AND FIELD CAMPS

2017 INDIANA CROSS COUNTRY CAMP

June 27-30, Bloomington, Indiana
at Robert C. Haugh Track & Field Complex

CAMP DETAILS

- Check In: June 27, 12-1 p.m. McNutt Quad
- Grades 7-12

OVERNIGHT CAMPER PARTICULARS

- All Meals provided beginning with dinner June 27
- Overnight Campers should bring linens (pillow, bed sheets/sleeping bag, towel)

COMMUTER CAMP SCHEDULE

- June 27 - 12-5 p.m.
- June 28 - 9 a.m. - 4:45 p.m.
- June 29 - 9 a.m. - 4:45 p.m.
- June 30 - 8:15-11 a.m.
Lunch provided June 28-29

FOR REGISTRATION INFORMATION:

Phone: 812-345-7759
E-Mail: Click Here!
Register On-Line: Now Available!

$50 summer camp discount if coming with at least five teammates

TO CONTACT INDIANA TRACK AND FIELD CAMP:

E-Mail: Click Here!



All Indiana Camps are open to all and any entrants

* Includes 6% convenience fee for credit card payments

2017 Indiana Cross Country Camp

As of June 23, registration is closed for this camp.

 
Registration Note: Your camp fee, less a $50 non-refundable administrative deposit will be refunded without question, if you cancel at least seven days prior to the beginning of camp. In the week leading up to camp, refunds (less the administrative fee) will be made for medical reasons only and must be accompanied by a signed medical statement from your physician. No cancellations or refunds after the start of camp for any reason.  

Housing Option (select one)*
 Overnight
 Commuter
 
Camper's Name (Last, First)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Camper's Home Phone #*
 
Parent's E-Mail Address*
 
Gender*
 
Age*
 
Grade Entering (Fall 2017)*
 
Camper's School*
 
HS Graduation Year (i.e. 2021)*
 
Roommate Preference (for Overnight Campers)
 
Parent/Guardian Name(s)*
 
EMERGENCY NUMBERS  
Father's Home Phone #
 
Father's Cell Phone #
 
Father's Work Phone #
 
Mother's Home Phone #
 
Mother's Cell Phone #
 
Mother's Work Phone #
 
INSURANCE INFORMATION  
Name of Minor*
 
Insurance Company*
 
Policy Number/Group #*
 
Name of Policy Holder*
 
Any past injury, illness or other information that would be useful in the event of medical treatment
 
Allergic Reactions
 
Present Medication (include dosage)
 
WAIVER AND RELEASE  

* I grant permission to the Directors, Assistants, or other persons responsible for her care to act on my behalf of 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 consent to such medical treatment as deemed necessary including surgery, x-ray examinations and anesthesia to be rendered to said minor by a licensed physician or nurse.  

* Waiver: In consideration of being allowed to participate in the Indiana Track and Field Camps, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge and covenant not to sue Indiana Track and Field Camps, Forward Marketing LLC, their officers, employees and agents for liability from any and all claims including the negligence of the Indiana Track and Field Camps, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in the Indiana Track and Field Camps.  

* 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*
 
Date*
 
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 Hoosier Track and Field Camps are canceled for any reason, refunds must be collected directly from Hoosier Track and Field Camps.

 
Qty 
 $466.00 Option 1 - Overnight Camper - Payment in Full

 $388.00 Option 2 - Commuter Camper - Payment in Full

 $416.00 Option 3 - Overnight Camper with Group Discount (at least five team members required for this discount) - Payment in Full

 $338.00 Option 4 - Commuter Camper with Group Discount (at least five team members required for this discount) - Payment in Full