Summer Sports Camp Registration

                                                               (Ages 11 – 18)

                                                                      July 11 – 14, 2011

                                    8:30 a.m. – 11:30 a.m. Daily                                        

   Skill Camp                      (Location: 3200 Adelphi Lane….Parmer/ Mopac))

      Offense

   Defense

         Speed and Agility

                                For beginning to advanced students

                      $68.50 (2 or more siblings: $64.50 each)                                

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 Please register by mail.  Must be postmarked no later than Tues. July 5th. Questions or for more info., please call 512-797-7186 or email: admin@austinhomeschoolsports.org

                                         Please make checks payable to AAHSS

Parents Name_______________________________Phone (home)____________________(work)_____________

Student’s Name_____________________________________Age & Date of Birth________/ ________________ 

Address_______________________________________________City______________________Zip___________ 

Email______________________________________Cell #s _______________/_____________                                                                 

Release of Liability / Assumption of Risk:  The undersigned participant or parent/guardian, in consideration of participation in the program  activities indicated on this form, agree to indemnify and hold harmless the AAHSS/Austin Christian Co-op ,and the facilities providers including the Red River Church and Waters Park Apts. , and Austin Sports center,  their representatives, their successors, and assigns and releases the same from any and all liability for any injury or illness which may be suffered by the participant, name herein, arising out of, or, in any way connected with the program or activity indicated and assumes the risk for such injury or illness.  I also authorize the use of any photographic image of the participant, name herein, taken during the program or activity, for use in any publication.  I further agree to abide by all of the AAHSS /Austin Christian policies and procedures.

Signed_______________________________________________  Date:_______________________

 AAHSS - P.O. Box 3263 – Austin, TX 78764-3263 • (512) 797-7186 •austinhomeschoolsports@hotmail.com

                                Or visit us at our web site at   www.austinhomeschoolsports.org