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If you are writing one check for multiple applications, please attach them together. For your convenience, photocopies of this registration form may be reproduced. Additional camp flyers are available at the Elementary and Middle School Main Offices as well as the High School Athletic Office. Cost: $130.00 per week.
NO REFUNDS Mail Registration forms along with checks payable to: Islip Booster Club P.O. Box 467 Islip, NY 11751 It is necessary for all participants in the I-BUC summer sports camps to have their parents sign the following statement prior to participation. Please return it with your application. I hereby certify that the applicant is in good physical condition to take part in the 2007 I-BUC sports camp. If medical attention is required for this illness or injury while attending the camp, I give my permission for such care and I certify that the applicant is covered by our family medical insurance program. Islip Schools and the staff are not responsible for and will not provide payment of any medical, dental, hospital or laboratory fees due to injury incurred while participating in the 2007 I-BUC sports camp. Signature of Parent or Guardian: ________________ Emergency Contact Number: __________________ Name of Medical Insurance Co.: ________________ Policy #: __________________________________ Date: _____________________________________
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ISLIP ADVANCED CAMP July 9 - 14
Application Address: ______________________________ _____________________________________ Telephone #: ___________________________ Emergency Contact #: ___________________ Grade in Fall 2006: ______________________ Gender: Male ____ Female: _____ Any Medical Conditions: __________________ ______________________________________
YM ____ YL____AS ____ AM ____ AL ____ AXL
____ . Enclosed is a check for $ ________ to The Islip Booster Club *Team
Discounts Available* |