All participants must have a combat (whitewater) roll. All participants under the age of 16 must have a parent/guardian accompany them as there is NO supervision outside of the training sessions.
Cost is $20/day for coaching. Food & Lodging are on your own.
I will need coaching Aug 3rd___ 4th___ 5th___ 6th___
# of days coaching needed ____________ X $20/day =______________
Please return the registration as soon as possible as I will only be accepting 15 participants since Scott Straughsbaugh & Wayne Dickert will also be having training camps at the same time. I will also provide open water time for those not wishing to participate in a camp. Please send your registration from with a check made out to East Race Club , to Marilyn Russell, 6190 Sunny Vale, Columbus, Ohio 43228- must be mailed by July 27, 1998.
Coaches will be Rebecca Bennet, Josh Russell & Wayne Russell
If you have any questions please call Marilyn Russell 614-870-7485 after 5:15pm weekdays, or all day saturday and sunday.
PLEASE CALL BEFORE SENDING IN REGISTRATION AS THE CAMP IS FILLING UP.
Special Concerns. Please list any health problems which the coaches should be aware of. This information will be kept confidential. The purpose is to assist us in case of emergencies to give us as much information as possible. It would also be appropraite to list any special concerns that you may have about your son or daughters participation.
In case of an emergency I authorize ______________________________________ or camp personnel to seek medical assistance for my child. Should such medical assistance be provided I will be responsible for payment of medical treatment.
Below is information regarding my insurance:
Insurance Policy #_______________________________________
Insurance Company________________________________________
Policy holders name_________________________________________
Home phone #___________________________Work PHone #_________________
Parent/Guardian Signature if under 18_____________________________________