Name_____________________________________________
Street __________________ City ________________________
Zip ______________________ Telephone __________________
Grade (September 2007) __________
T�Shirt Size, Adult Sizes (circle)
X-Small Small Medium Large X � Large
(Please check off sessions attending)
________ Boys� Football (session #1) $120 June 25� June 29 Grades 2-8 9 AM�3 PM
________ Girls� Soccer $120 June 25� June 29 Grades 2-9 9 AM�3 PM
________ Boys� Wrestling (session #1) $50 July 2,3,5,6 Grades 1-3 9 AM�12 Noon
________ Boys� Wrestling (session #2) $100 July 2,3,5,6 Grades 4-9 9 AM�3 PM
________ Girls� Cheerleading $60 July 2,3,5,6 Grades 2-9 9 AM�12:45 PM
________ Girls� and Boys� Track (session #1) $45 July 2,3,5,6 Grades 1-3 9 AM�11 AM
________ Boys� Soccer $120 July 9�July 13 Grades 2-8 9 AM�3 PM
________ Girls� Basketball (session #1) $120 July 9�July 13 Grades 7-9 9 AM�3 PM
________ Boys� Wrestling (session #3) $60 July 9�13 Grades 9-12 12 Noon�3 PM
________ Girls� and Boys� Track (session #2) $60 July 9� July 13 Grades 4-8 9 AM�12 Noon
________ Boys� Basketball (session #1) $120 July 16�July 20 Grades 7-9 9 AM�3 PM
________ Girls� Basketball (session #2) $120 July 16�July 20 Grades 4-6 9 AM�3 PM
________ Boys� and Girls� Tennis (session #1) $60 July 16�July 20 Grades 4-6 9 AM�12 Noon
________ Boys� and Girls� Tennis (session #2) $60 July 16�July 20 Grades 7-9 12 Noon�3PM
________ Boys� Basketball (session #2) $120 July 23�July 27 Grades 4-6 9 AM�3 PM
________ Girls� Softball $120 July 23�July 27 Grades 4-9 9 AM�3PM
________ Boys� Lacrosse (session #1) $60 July 30�August 3 Grades 2-4 9 AM�12 Noon
________ Boys� Lacrosse (session #2) $120 July 30�August 3 Grades 5-8 9 AM�3PM
________ Boys� Lacrosse (session #3) $60 July 30�August 3 Grades 9-12 5 PM�7:30 PM
________ Co �ed Soccer $60 July 30�August 3 Grades 9-12 9 AM�12 Noon
________ Girls� Volleyball (session #1) $60 July 30�August 3 Grades 4-8 9 AM�12 Noon
________ Girls� Volleyball (session #2) $60 July 30�August 3 Grades 9-12 12:30 PM�3:30 PM
________ Boys� Football (session #2) $ 60 August 6�August 8 Grades 9-12 9 AM�12 Noon
________ Boys� Baseball $80 August 6�August 10 Grades 3-9 9 AM�1 PM
________ Girls� Lacrosse $120 August 6�August 10 Grades 4-9 9 AM�3PM
________ Boys� and Girls� Golf $70 August 6�August 10 Grades 4-9 9 AM�12 Noon
________ Boys� and Girls� All-Sports $120 August 13 � August 17 Grades 4-9 9 AM�3 PM
________ Boys� and Girls� All-Sports $60 August 13�August 17 Grades 1-3 9 AM�12 Noon
I hereby authorize the staff of the Elwood Sports Program to act for me according to their best judgment in any emergency requiring medical attention and I hereby waive and release the Elwood Sports Program from any and all liability for any injuries incurred while participating. I have no knowledge of any physical impairment that would prevent full participation in the summer sports program.
Parent or Legal Guardian Signature_________________________________________________________