YOUTH CAMPS/CLINICS/ACTIVITIES REGISTRATION Return Application to: 231 Seabrook Road, Ada, OK Phone: (580) Fax to: (580)
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1 PARENTS/LEGAL GUARDIANS INFORMATION: (Birth date is required for security purposes) PARENT/LEGAL GUARDIAN #1: _ City: County: State: ZIP: Birth date: Gender: Male Female Authorized for pickup? Yes No Home phone: ( ) Cell phone: ( ) address: Relationship: Employee of the Chickasaw Nation: Yes No PARENT/LEGAL GUARDIAN #2: _ Birth date: Gender: Male Female Authorized for pickup? Yes No Home phone: ( ) Cell phone: ( ) address: Relationship: Employee of the Chickasaw Nation: Yes No ADDITIONAL INFORMATION NEEDED: SECTION A SECTION B Child(ren) live at the above permanent address with parent(s) or legal guardian(s): STOP: If you checked Section A, you do not need to complete Section B of this form. OR If this is not a permanent address for this child, PLEASE GO TO SECTION B EMERGENCY CONTACT INFORMATION: In a shelter Temporarily with more than one family due to loss of job, loss of housing, etc. In a motel, car or campsite. In temporary foster care awaiting placement. Alone without parental support (independent living student). First: Middle: Last: Suffix: Relationship: Home phone: ( ) Cell phone: ( ) address: Person(s) authorized for pickup: (Other than parent/guardian) Name: Name: Name: Relationship: Relationship: Relationship: Page 1 of 7 Form no CS-YS Rev. 1/2018
2 Child #1 Chikasha Albinachi Cultural Camp Golf 101 Champions Cheerleading Clinic Camps for Ages 8-12 Camps for Grades 3-6 or Ages 8-13 Boys Basketball Camp Environmental Camp Halloween Lock-in Winter Softball Clinic Camps for Ages 8-14 Camps for Grades 4-8 or Ages 9-13 Winter Baseball Clinic Yaakni Inaalhpisaat Chokma Camp Survivor Tennis Camp (Judicial Camp) Camps for Grades 3-12 or Ages 8-18 Youth Academy Champions Football Clinic Chickasaws are Playing Camp Fall Break CNASA - Chickasaw Nation Hayaka Unta Camp (Fall 2018) Aviation and Space Academy Hayaka Unta Camp (Spring 2019) Ikbi Holisso Book Creation Camp Camps for Grades 7-12 or Ages Page 2 of 7 Form no CS-YS Rev. 1/2018
3 Child #2 Chikasha Albinachi Cultural Camp Golf 101 Champions Cheerleading Clinic Camps for Ages 8-12 Camps for Grades 3-6 or Ages 8-13 Boys Basketball Camp Environmental Camp Halloween Lock-in Winter Softball Clinic Camps for Ages 8-14 Camps for Grades 4-8 or Ages 9-13 Winter Baseball Clinic Yaakni Inaalhpisaat Chokma Camp Survivor Tennis Camp (Judicial Camp) Camps for Grades 3-12 or Ages 8-18 Youth Academy Champions Football Clinic Chickasaws are Playing Camp Fall Break CNASA - Chickasaw Nation Hayaka Unta Camp (Fall 2018) Aviation and Space Academy Hayaka Unta Camp (Spring 2019) Ikbi Holisso Book Creation Camp Camps for Grades 7-12 or Ages Page 3 of 7 Form no CS-YS Rev. 1/2018
4 Child #3 Chikasha Albinachi Cultural Camp Golf 101 Champions Cheerleading Clinic Camps for Ages 8-12 Camps for Grades 3-6 or Ages 8-13 Boys Basketball Camp Environmental Camp Halloween Lock-in Winter Softball Clinic Camps for Ages 8-14 Camps for Grades 4-8 or Ages 9-13 Winter Baseball Clinic Yaakni Inaalhpisaat Chokma Camp Survivor Tennis Camp (Judicial Camp) Camps for Grades 3-12 or Ages 8-18 Youth Academy Champions Football Clinic Chickasaws are Playing Camp Fall Break CNASA - Chickasaw Nation Hayaka Unta Camp (Fall 2018) Aviation and Space Academy Hayaka Unta Camp (Spring 2019) Ikbi Holisso Book Creation Camp Camps for Grades 7-12 or Ages Page 4 of 7 Form no CS-YS Rev. 1/2018
5 Child #4 Chikasha Albinachi Cultural Camp Golf 101 Champions Cheerleading Clinic Camps for Ages 8-12 Camps for Grades 3-6 or Ages 8-13 Boys Basketball Camp Environmental Camp Halloween Lock-in Winter Softball Clinic Camps for Ages 8-14 Camps for Grades 4-8 or Ages 9-13 Winter Baseball Clinic Yaakni Inaalhpisaat Chokma Camp Survivor Tennis Camp (Judicial Camp) Youth Academy CNASA - Chickasaw Nation Aviation and Space Academy Ikbi Holisso Book Creation Camp Camps for Grades 3-12 or Ages 8-18 Champions Football Clinic Chickasaws are Playing Camp Fall Break Hayaka Unta Camp (Fall 2018) Hayaka Unta Camp (Spring 2019) Camps for Grades 7-12 or Ages FOR MORE THAN FOUR CHILDREN PLEASE FILL OUT AN ADDITIONAL APPLICATION Page 5 of 7 Form no CS-YS Rev. 1/2018
6 Phone: (580) Fax to: ( 580) NOTE: DEADLINE FOR ALL CAMPS APRIL 15, 2018 Information on date, location and transportation for each camp CHIKASHA ALBINACHI Cultural Camp (AGES 6 11) Dates: May 22-23, 2018 Location: Chickasaw Cultural Center, Sulphur Transportation: not provided CAMP SURVIVOR (GRADES 4-8 or AGES 9-13) Dates: May 29 June 1, 2018 Location: Camp Classen, Davis Transportation: not provided ENVIRONMENTAL CAMP (AGES 8-12) Dates: May 30 June 1, 2018 Location: Ada Transportation: not provided CNASA - CHICKASAW NATION AVIATION AND SPACE ACADEMY (AGES 10-18) Dates: June 4 8, 2018 Location: Science, Technology and Math Academy, Ada Transportation: provided for CNASA scholarship students who live out of state, but availability limited. GOLF 101 (GRADES 3-6 or AGES 8 11) Dates: June 4 5, 2018 Location: WinStar Golf Course, Thackerville Transportation: provided GOLF CAMP II (GRADES 7-12 OR AGES 12-18) Dates: June 6-7, 2018 Location: WinStar Golf Course, Thackerville Transportation: provided NATIVE AMERICAN JR. OPEN GOLF TOURNAMENT (GRADES 3-12 or AGES 8-18) Note: This is an open golf tournament for any Native American youth. This is also the qualifier for Team Chickasaw Golf. There is an entry fee that is due the day of the tournament. Date: June 8, 2018 Location: WinStar Golf Course, Thackerville Transportation: not provided FCA COMPETITORS CAMP (AGES 11-14) Dates: June 8 11, 2018 Location: Camp Walk On Water, Gerty Transportation: not provided SPACE CAMP (Huntsville, AL) (AGES 9-18) Dates: June 10-16, 2018 Location: U.S. Space & Rocket Center, Huntsville, AL Transportation: provided, but availability is limited. TENNIS CAMP (ages 6-18) Dates: June 11-12, 2018 Location: Ada Tennis Center, Ada Transportation: provided FCA XTREME CAMP (AGES 15-18) Dates: June 18-22, 2018 Location: Crosspoint Camp, Kingston Transportation: not provided LIGHTHORSE YOUTH POLICE ACADEMY (AGES 9 15) Dates: June 18-22, 2018 Location: Lighthorse Police Department, Ada Transportation: not provided CHAMPIONS FOOTBALL CLINIC (GRADES 3-12 or AGES 8 18) Dates: June 21-23, 2018 Location: Ada High School Indoor Field, Ada Transportation: provided CHAMPIONS CHEERLEADING CLINIC (AGES 6-18) Dates: June 22-23, 2018 Location: Family Life Center Gym, Ada Transportation: provided Page 6 of 7 Form no CS-YS Rev. 1/2018
7 IKBI HOLISSO Book Creation CAMP (AGES 10-18) Dates: June 26-29, 2018 Location: TBD Transportation: not provided YAAKNI INAALHPISAAT CHOKMA JUDICIAL CAMP (AGES 8-14) Dates: June 28-29, 2018 Location: Ada Transportation: not provided TANUMPO HOSA APISA CLINIC SHOOTING CAMP (GRADES 7 12 or AGES 12-18) Dates: July 5-6, 2018 Location: Davis, Oklahoma Transportation: provided GIRLS BASKETBALL CAMP (GRADES 3 12 or AGES 6-18) Dates: July 9-10, 2018 Location: Oklahoma City University Gym Transportation: Participants ages 6-12 will be provided transportation each day to the camp destination. BOYS BASKETBALL CAMP ( GRADES 3 12 or AGES 6-18) Dates: July 11-12, 2018 Location: Oklahoma City University Gym Transportation: Participants ages 6-12 will be provided transportation each day to the camp destination. CHICKASAW ARTS ACADEMY (GRADES 3 12 or AGES 8 18) Dates: July 14-28, 2018 Location: East Central University, Ada Transportation: N/A FALL (2018) HAYAKA UNTA CAMP (GRADES 3-12 OR AGES 8 18, Chickasaw Families) Dates: October 12-14, 2018 Location: Camp Goddard, Sulphur Transportation: not provided CHIKASHSHAAT HOOCHOKOSHKOMO Chickasaws are Playing Camp (GRADES 3-12 or AGES 8-18) Dates: Fall Break Location: Chickasaw Cultural Center, Sulphur Transportation: not provided HALLOWEEN LOCK-IN (GRADES 3-6 OR AGES 8-13) Dates: October 19-20, 2018 Location: Andy Alligator s, Norman Transportation: provided WINTER BASEBALL CLINIC (GRADES 3-12 OR AGES 6-18) Dates: December 20-21, 2018 Location: D-Bats in Oklahoma City Transportation: provided WINTER SOFTBALL CLINIC (GRADES 3-12 OR AGES 6-18) Dates: December 27-28, 2018 Location: D-Bats in Oklahoma City Transportation: provided SPRING (2019) HAYAKA UNTA INTO THE WOODS CAMP (GRADES 3-12 OR AGES 8-18) Dates: April 5-7, 2019 Location: Camp Goddard, Sulphur Transportation: provided Page 7 of 7 Form no CS-YS Rev. 1/2018
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CALVERT COUNTY PARKS & RECREATION CALVERT COUNTY SHERIFFS OFFICE
CALVERT COUNTY PARKS & RECREATION together with CALVERT COUNTY SHERIFFS OFFICE Teamwork, Activities, Demonstrations, Swimming All squeezed into one week of Camp! Date: July 10 14, 2017 Time: 8:00 a.m.
Counselor Application
2018 Spotsylvania 4-H Camp (CSRS) June 24-28, 2018 Counselor Application This application is for youth who are age 14 or older as of January 1, 2018 NAME ADDRESS STREET CITY ZIP HOME PHONE: CELL PHONE:
MUSIC CAMP REGISTRATION INSTRUCTIONS
REGISTRATION INSTRUCTIONS If you have any questions, please call us at: 203-925-9660 or 1-888-MYLESSON To Enroll: 1) Print and complete the attached forms. 2) Enclose a deposit check of $150 per camper
Week 1. Cheerleading Camp Go! Fight! Win! Campers will learn cheers, chants, and a dance. This camp is sure to bring out team spirit in you!
Descriptions 2013 Week 1 Basketball Camp Skills, drills, and basketball thrills! This action packed camp is full of basketball fun and will teach you the basics of the game. Whether you are a seasoned
2018 Pricing Weekly Rate Day Rate Hours: $160 / week *8 weeks or more $45 / day *8 weeks or more ALL EXTENDED HOUR FEES WAIVED WITH 8 WEEK CONTRACT
2018 Pricing Weekly Rate Day Rate Hours: $160 / week *8 weeks or more $45 / day *8 weeks or more ALL EXTENDED HOUR FEES WAIVED WITH 8 WEEK CONTRACT $180 / week+ $50 / day+ + 7 weeks or less $5 per hour
CURRICULUM ADDED IN 2019! NEW SUMMER EXPLORATION ACADEMY. Summer Day Camp. Jerry Long Family YMCA #BestSummerEver
NEW CURRICULUM ADDED IN 2019! SUMMER EXPLORATION ACADEMY Summer Day Camp Jerry Long Family YMCA #BestSummerEver WELCOME to Summer at the Y There s never a dull moment during Summer Exploration Academy/Day
Camp Scholarship Application Please review these guidelines and complete the application starting on page 3.
Please mail all correspondence to: Camp Fire Minnesota Attn: Scholarship 4829 Minnetonka Blvd. Suite 202 St. Louis Park, MN 55416 Camp Scholarship Application Please review these guidelines and complete
WELCOME TO CAMP! YMCA CAMP MAHACKENO F0R GRADES K-10. Monday-Friday - 9:00 am-4:00 pm Pre Care starts at 7:30 am Post Care ends 6:00 pm
WELCOME TO CAMP! YMCA CAMP MAHACKENO F0R GRADES K-10 Monday-Friday - 9:00 am-4:00 pm Pre Care starts at 7:30 am Post Care ends 6:00 pm YMCA Camp Mahackeno is a traditional summer camp that allows our campers
Camp Forever August 24-26, 2018
Camp Forever August 24-26, 2018 Registration is open for all eligible families on July 1, 2018. Completed registration packets can be submitted as follows: 1) By mail, along with a check made out to KBYH
A FUN PLACE TO GROW. Summer Camp. New Sports Camps! New Specialty Camps! SOUTHERN SARATOGA YMCA 2016
A FUN PLACE TO GROW Summer Camp SOUTHERN SARATOGA YMCA 2016 New Sports Camps! New Specialty Camps! OUR HOURS Camp 9am to 4pm Drop off starts at 7AM Pick up until 6PM Closed for July 4th Holiday Great Fun!
Camp Fire. GULF WIND, INC. October-November-December 2015 PENSACOLA, FL. Merry Christmas & Happy New Year!
FIRESIDE NEWS Camp Fire GULF WIND, INC. October-November-December 2015 PENSACOLA, FL Did you know that Camp Fire will be 106 years old in March 2016? Founded in 1910, Camp Fire for Girls has endured many
2019 POTOMAC
SUMMER @ POTOMAC OFFERINGS BY DATE AND GRADE Free Bus Service for June 17 - August 2! 1301 Potomac School Rd., McLean, VA 22101 Ph: 703-749-6317 Email: summer@potomacschool.org Trip Technology 3-Week Session
M / F (last) (first) (circle one) Adult Medium
Camper s Name LACEY PARKS & RECREATION SUMMER FUN TOUR DAY CAMP 2017 FAX: 360.438.2669 Email: laceyparks@ci.lacey.wa.us (your child is not registered without payment and the registration form) Please follow-up
Summer Day Camp YMCA OF METROPOLITAN DETROIT #BestSummerEver
Summer Day Camp YMCA OF METROPOLITAN DETROIT #BestSummerEver Day Camp, like many Y programs, is about learning skills, developing character and making friends. But few environments are as special as camp,
This packet will outline your child s time at camp and provide you with detailed information on daily activities, staff and other FAQ s.
TGA Premier Sports Camp Oakland Recreation Complex 80 Lawlor Dr. Oakland, NJ 07436 Days: Monday Friday Full Day Camp: 9:00am-3:00pm Half Day Camp: 9:00am-12:00pm Parent Orientation Packet Dear TGA Families,
YMCA Camp Piomingo Financial Assistance Application
YMCA Camp Piomingo Financial Assistance Application Thank you for your interest in YMCA Camp Piomingo s Financial Assistance program. Attached you will find the required application. There are several
STATE SQUAD/TEAM PLAYER/OFFICIAL AGREEMENT FORM
STATE SQUAD/TEAM PLAYER/OFFICIAL AGREEMENT FORM I,, hereby acknowledge that: (i) (ii) (iii) I was *selected/appointed on / / by Softball Queensland Inc (SQI) as a member of a Softball Queensland Representative
CAMP ECHO PAYMENT & ENROLLMENT POLICIES
PAYMENT OPTIONS When you register for camp, you will pay a deposit, which is applied to the camp fee; deposits are non-refundable unless the McGaw YMCA cancels your program or if the camper is on a waitlist.
2015 YMCA Camp Onyahsa Financial Aid/Scholarship Application
2015 YMCA Camp Onyahsa Financial Aid/Scholarship Application Scholarship Information: Scholarships are usually restricted to one Traditional session per child. Scholarship awards will be made beginning
2018 YMCA Camp Onyahsa Financial Aid / Scholarship Application
2018 YMCA Camp Onyahsa Financial Aid / Scholarship Application Scholarship Information: Scholarships are usually restricted to one Traditional session per child. Scholarship awards will be made beginning
Camp Wanna-Have-Fun Registration
Camp Wanna-Have-Fun Registration Register at the Community Education Office 455 E. Scripps Road, Room #103 Lake Orion, MI 48360 Phone: 248-693-5436 Fax: 248-814-0203 Summer Office Hours: 8:30 a.m.- 4:30
BOSTON MINUTEMAN COUNCIL 2014 PHILMONT YOUTH APPLICATION DEADLINE: January 4, 2014
BOSTON MINUTEMAN COUNCIL 2014 PHILMONT YOUTH APPLICATION DEADLINE: January 4, 2014 (Applicants must be under 21 thru the last day of the expedition) Youth Registration will be on a first-come first-serve