WHERE: GEORGE RANCH FIELD HOUSE WHEN: 6/12 – 7/27 (Monday – Thursday) INSTRUCTORS: George Ranch Coaching Staff COST: $50.00 (Payable to GRHS Activity Account #4) Wear shorts, t-shirt, running shoes, and bring a positive attitude. Water will be provided (you may bring a water bottle with you). ATHLETE’S NAME:____________________________________ PLEASE RETURN THIS FORM TO: Ricky Tullos GEORGE RANCH HIGH SCHOOL 8181 FM 762 Richmond, Texas 77469 (OR BRING IT WITH YOU TO CAMP) PARENT’S NAME:_____________________________________ ADDRESS:__________________________________________________________________________________________ CITY, STATE, ZIP CODE:_____________________________________________________________________________ HOME PHONE:_____________________________________________ WORK PHONE:_____________________________________________ DATE OF BIRTH:__________________ 2016 GRADE: ____________ Time: 8:00 – 10:00 AM Location: GRHS Field House FOR MORE INFORMATION CONTACT: Ricky Tullos – GR Athletic Coordinator - 832-223-4360 - [email protected] I HEREBY AUTHORIZE THE DIRECTORS OF THE GEORGE RANCH HIGH SCHOOL PROGRAM TO ACT FOR ME IN ACCORDANCE WITH THEIR JUDGEMENT IN ANY EMERGENCY REQUIRING MEDICAL ATTENTION, I FURTHER WAIVE AND RELEASE THE STRENGTH CAMP, STAFF MEMBERS AND L.C.I.S.D. FROM LIABILITY FOR DAMAGES FROM INJURIES OR ILLNESS. I KNOW OF NO MENTAL OR PHYSICAL CONDITION WHICH MAY AFFECT MY CHILD’S ABILITY TO PARTICIPATE IN THE STRENGTH CAMP. THIS ORGANIZATION AND ITS ACTIVITIES ARE NOT RELATED TO OR SPONSORED BY LAMAR CONSOLIDATED ISD. PARENT’S SIGNATURE: X____________________________________________________
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