June 4 - Lee`s Summit North High School

Lee’s Summit North High School
2015 TENNIS CAMP
Home of the 2013 MSHSAA STATE CHAMPS
Monday, June 1st thru Thursday, June 4th, 2015
(Rain Date: Friday, June 5th)
Cost: $40.00 per camper (includes T-shirt)
CAMP HIGHLIGHTS:
* Camp Features USTA QuickStart modified equipment for young players
* Racquet provided if you don’t have one (all sizes)
* See for yourself why this is one of the most popular sport camps in L.S.
* Help your child learn a great LIFETIME Sport
Boys & Girls entering grades 9-12: 8:00 am – 9:45 am
Boys & Girls entering grades 1-4: 10:00 am – 11:15 am
Boys & Girls entering grades 5-8: 11:30 am – 1:00 pm
Camp will be conducted by LSN Bronco Tennis Coaches, Players and Alumni
Questions should be directed to Head Coach Stu Reece at: 816-590-4134 or
e-mail: LSNtennis@gmail.com
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Lee’s Summit North Tennis Camp Registration
Camper’s Name:________________________________ Grade to be (’15-‘16): ________
Address:______________________________ Contact Phone: ______________________
City_______________________Zip_____________ School attended: _________________
Emergency Contact: ______________________________Emergency Phone:___________
E-mail Address ____________________________(Camp info and weather cancellations)
Shirt Size (circle one): Youth Sm, Youth Med, Youth Lg, Adult Sm, Adult Med, Adult Lg
I have no knowledge of any physical impairment that would be affected by the camper’s participation in the camp
program. I hereby authorize the coaches to act for me according to their best judgment in any emergency requiring
medical attention. I further agree to waive liability of the camp coaches for any accident, illness, or other mishap that
might befall the camper named in this application while traveling to and from, or during attendance at camp. I
understand that the LS School District does not provide insurance for injuries incurred during a camp/clinic.
Parent/Guardian Signature ____________________________ Date_______
Camp Registration Deadline: First Day of Camp
Complete this form and mail/bring it to the AD office or camp with $40.00 check (LSNHS) to:
Bronco Tennis Camp
Attn: Stu Reece, Tennis Coach
1008 NE Chestnut St, Lee’s Summit, MO 64086