Spring Break Sports Camp

March 27th –31st

BOYS & GIRLS AGES 5 to 12

Camp is from 8am to 5pm Monday thru Friday. Early Drop Offs (6:30am) & Late Pickups (5:30pm) included (Late Fees apply for pick ups after 5:30pm). Lunch & Snacks are all included. Days will consist of playing soccer, baseball, basketball, flag football, dodgeball, gymnastics, volleyball, wiffle ball, art craftsand it all takes place indoors & outdoors. Energize your youngster’s week off by keeping them moving in our active environment. Sibling Discounts Available.

$129 Full Week or $35 Per Day

(2 Kids for $209)(If Registered & Paid by March 17th, 2017. Late Registrations carry a $20 additional fee)

Spaces are limited.Children must be potty trained & mature enough to participate. There are no refunds or partial credits given. For more information:(812) 479-5425 or email . Visit us on the web at: Please make checks payable to: Metro Sports Center. Mail by deadline to:5820 Metro Centre Dr, Evansville, In 47715. V/MC/D Payments accepted by Phone.

Circle Days Paid For Below:

Camper Information: Mar. 27Mar. 28Mar. 29 Mar. 30 Mar. 31

Name______Date of Birth______Grade______

Address______City______State _____ Zip ______

Phone #______Email______

Parent Name: ______Cell #: ______

Insurance Carrier______Need Early Drop off/Late Pick Up______

Medical Conditions: ______

Secondary Contact ______Phone ______

Parent Signature______Date ______

*Mandatory: Parents Must list all extra adults (with contact telephone #’s) that can pick up kids from camp, on back of form*

Waiver of Liability: The Signature above signifies acceptance of the following waiver of liability. I acknowledge that Metro Sports Center LLC may compile address labels and list and may utilize any photographs of the named individual. I consent to the use of my name address and likeness and hereby waive all rights to compensation for their use in the promotion and / or operation of Metro Sports LLC. For and in consideration of our or my child’s participation in any leagues, practices, clinics, classes and encompassing any and all activities at Metro Sports Center LLC. I / We hereby release, acquit, forever discharge, indemnify, and hold harmless Metro Sports Center LLC, its officers, officials, coaches, employees representatives all league and tournament sponsors and their respective officers, directors and agents of and from any and all claims, demands, actions or causes of action, liability or injury or damage arising out of or in a way related to participation in any activities at Metro Sports Center LLC. We further certify that our child has our permission to participate in any and all activities at the Metro Sports Center LLC. In the event of injury or illness to our child we hereby grant authority to a qualified physician to render such medical treatment as said physician deems reasonable and necessary and we also accept responsibility for any expense involved with such illness, injury, and treatment. I understand that as a participant in Metro Sports Center LLC Sporting events that I must abide by all rules, regulations, and philosophies of Metro Sports Center LLC. The Management of Metro Sports Center LLC has the right to refuse usage of our facility at any time and any decision in this regard will be respected by the above signed person.