Please rank the following activities
as per your child’s preference.
( 1 = most preferred, 10 = least preferred )
FLOOR HOCKEY
SOCCER
VOLLEYBALL
SOFTBALL
BADMINTON
BASKETBALL
MINOR GAMES
BOWLING
MINI-PUT
OTHER (PLEASE SPECIFY)
Please write NO beside any activity in
which you DO NOT want your child to
participate.
Make cheque payable to:
DSB Ontario North East – THVS Basketball
Waiver Agreement
In consideration of the benefits expected to be
derived from the admission of my child to the
Timmins High Multi-Sports Camp, I hereby remise, replace and forever discharge the said
camp, its servants and agents, members and participants, and parents of, and from any and all
actions, claims and demands whatsoever in any
way arising out of injury or illness of myself or
my child, or loss or damages to property occurring during or as a result of anything done or left
undone by the Timmins High Multi-Sport Camp,
or any of the other persons hereby released in
conjunction with the operation of the sports
camp or anything arranged by it to take place
outside of it’s training premises. If, at any time,
due to circumstances or sudden illness, medical
treatment is necessary, this may be given. The
above will enable a physician to give necessary
treatment in the case of an emergency situation
where parents cannot be reached. It is understood that every effort will be made to contact
the parents. In signing the application, I hereby
acknowledge that I have read and understand
the conditions and certify that my child is in
good physical health. I also understand that by
registering for this event, I am giving the Timmins High Multi-Sports Camp permission to use
any photographs and/or video taken of the participants for publicity and promotional purposes
is so desired.
- Please enclose a $30.00 deposit cheque
- Balance is due on the first day of camp
Registrations can be mailed to:
Timmins High & Vocational School
Multi-sports Camp
c/o Peter Graham
PO Box 1020
Timmins, Ontario P4N 7H7
Registration Form
Name:_______________________________________
Address:____________________________ Box:_____
City:_____________________ Postal Code:________
Home Tel:____________________________________
Cell Number:_________________________________
Parent/Guardian Wk No._______________________
Email:________________________________________
_____Female
_____Male
Grade( Sep 2017):_____
School attending in the fall:_______________________
_______________________________________________
Health Card Number:____________________________
Medical Conditions:______________________________
_______________________________________________
T-Shirt Sizes (please select one):
Youth: S
M
L
Adult:
M
L
S
Session (please circle)-
_______________________________________
Parent/Guardian Signature
Age:_____
XL
XXL
July 3– 7
July 17 - 21
August 28 - 31
__________________________
Date
2017 TH&VS
MULTI-SPORTS CAMP
$175 per week
Family discount of $30.00 for each
additional family member
Typical Day’s Activities
9:00 a.m. - 9:15 a.m.
Warm Up
∙ minor games
2017 TH&VS
Multi-Sport Camp
9:15 a.m. - 10:30 a.m. First Activity
∙ e.g. basketball
10:30 a.m. - 10:45 a.m. Water/Nutrition
Break
10:45 a.m. - 12:00 p.m. Second Activity
$30.00 discount if you have
participated in the Trappers Spring
Basketball League or the July
Basketball Camp
For ages 5 to 14
Each participant receives a T-Shirt and
pizza lunch on Friday.
∙ e.g. soccer
12:00 p.m. - 1:00 p.m.
Lunch
∙ supplied by camper
∙ supervised lunch room
1:00 p.m. - 2:00 p.m.
Third Activity
2:00 p.m. - 2:15 p.m.
Water/Nutrition
Break
July 3 to July 7
2:15 p.m. - 3:45 p.m.
Fourth Activity
July 17 to July 21
August 28 to 31
∙ e.g. floor hockey
∙ e.g. mini-put
Please make cheques payable to:
Timmins High & Vocational School
9:00 a.m. to 4:00 p.m. daily
Timmins High & Vocational School
Multi-sports Camp
c/o Peter Graham
PO Box 1020
Timmins, Ontario P4N 7H7