Sign Up
Summer
Camps
2012
Today!
First United
Methodist Church
Dothan, Alabama
Ryan Deaton
1380 West Main Street Director of Recreation Ministries
Dothan, Al 36301 Phone: (334) 712-9223
E-mail: [email protected]
Recreation Ministries Phone: (334) 712-9223
Mr. Ryan Deaton, Director
Camp Info
Registration Form
Bring, Mail or Register online your registration form and FEE to:
FUMC Dothan
Basketball (1st—6th Grade) - $15
1380 West Main Street
Dothan, AL 36301

9:30 AM — 12

Session 1: June 4 — 8
Fumcdothan.org
Session 2: July 9—13
Dodgeball Tournament (2nd—9th Grade)- $10

9:30 AM—12

June 18—22
Soccer Camp (1st—6th Grade) - $15
Recreation Ministries Phone: 712-9223
dent, or illness which may befall his/her property
T-Shirt Cost is $8 and due at registration. There is a
limited number of t-shirts.
while involved with CLC activities. The undersigned
Shirt Size (circle one): YS YM YL YXL AS AM AL
tives to take such action as may be necessary for the
Registering for: (Please check choices)
medical care or treatment including the administration
of medication, performing of surgery, or such other

June 25—29
___ Basketball Camp Session 1 ___ Session 2___
___ Cheerleading Camp
___ Football Camp

July 9—12
Cheerleading Camp (1st—6th Grade) - $15

9:30 AM—12

July 16-20
Wiffleball Camp(1st—9th Grade) - $15

9:30 AM —12

July 23– 27
Wiffleball World Series (1st—9th Grade) - $10
any suit, action, damages, or claims at law or other-
__________________________________________
___ Soccer Camp
5:30 PM – 7:30 (Solomon Park)
United Methodist Church shall be held harmless from
wise, resulting from or arising out of any injury, acci-
9:30 AM —12

With this permission I understand that Dothan First
Participant’s Name: ________________________

7-on-7 Football Camp (1st—6th Grade) - $15
Liability Release
___ Dodgeball Tournament
hereby authorizes church employees, or representa-
action as needed in the event of injury or illness of
participant when emergency contact cannot be
reached for authorization. This authorization may be
presented to medical personnel without liability of
said personnel to seek further authority. In signing, I
___ Wiffleball Camp
am also agreeing that my picture may be put on the
___ Wiffleball World Series
church website, used in church publicity, or other
Grade (2012/2013 School Year) _______
digital or print media unless otherwise noted.
Address: ____________________________________
____________________________________________
Phone: _____________________________________
Parent/Guardian: _____________________________
____________________________________________
Signature: __________________________________
Parent/Guardian Signature:
Phone: ______________________________________
Email: _______________________________________

9:30 AM—12
Emergency Contact: ___________________________

July 30—Aug 2
____________________________________________
Phone: ______________________________________
___________________________________________
Date: ______________________________________