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Go to “YMCAWF.org” Register and pay the $99 deposit
You have done this already and this is the follow up poacket.
You will be e mailed the following forms:
YMCA Summer Camp Program Registration and Medical Release
MWSU Release and Indemnification Agreement For Minors
-Fill out these last two forms and bring them to camp check in
-Respond back to e mail that you have received the forms and tell us your
Campers t shirt size.
Go back to “YMCAWF.org” When you log in to Gymnastics Summer Camp it
should have your balance due. Pay that by June 1.
Pack
Drive to MSU (see attached map)
Check into the dorm from 9:30am—noon
Midwestern State University
Killingsworth Hall
3410 Taft Blvd
Wichita Falls, TX 76308
Eat lunch
Drive the happy camper over to the Y by 1:00pm (see attached map)
In the very back of:
Bill Bartley YMCA
5001 Bartley Dr
Wichita Falls, TX 76302
Couple other notes:
Attire needed for the week,
Gym: Leo, shorts, shoes or flip flops
Wed: Sports clothes and shoes for indoor basketball, volleyball, soccer
Thu: Swimsuit, flip flops, and your own towel
Fri: Casual clothes for movie night
If you have further questions please don’t hesitate to e mail me.
Look forward to a great camp!!
Joe Cronin
To D/FW
Bart
ley D
r
Sto
ne
Lak
e D
r
YMCA
GYM
CHRIST
ACADEMY
Southwest Parkway 369
Stone lake Dr and Bartley Dr are the same street.
Leotards & shorts, enough for 4 days
Grips and wrist bands
Tape and Pre wrap
Hair ties or scrunchies
Credit or Debit Card if you need a snack or Gatorade between rotations
We don’t take American Express. We prefer you not have a lot of cash
If you forget any of the first four items we do carry them in our pro shop
Camp t shirts will be handed out the last day (no additional charge)
- The machines are free (no need to bring coins)
YMCA CAMP 2018
PR
OG
RA
M R
EG
IS
TR
AT
IO
N
BILL B
AR
TLE
Y B
RA
NC
H F
AM
ILY
YM
CA
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C
HILD
’S L
AS
T N
AM
E F
IR
ST M
IDD
LE IN
IT. B
IRTH
DAY A
GE
______________________ _
____________
AD
DRESS C
ITY / S
TATE / Z
IP
__________________ _
_________ _
_______
PAREN
T’S
NAM
E (IF
CH
ILD
UN
DER 1
8) W
ORK
PH
ON
E M
OB
ILE P
HO
NE
EM
AIL
AD
DRESS: _
_____________________________________________
C
hild
’s T
-SH
IR
T S
IZ
E: _
___
__
___________________________________
YM
CA M
EM
BER
_____ N
ON
-MEM
BER _
____ M
ALE____ F
EM
ALE _
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_
OFFIC
E U
SE O
NLY
: PRO
GRAM
NAM
E S
um
mer C
am
p 2
01
8
PRO
GRAM
TIM
E V
ar.
PRO
GRAM
DAY(S
) Wed
-Sat
MO
NTH
JU
NE 6
-9
AM
OU
NT P
AID
D
ATE P
AID
By m
y s
ignatu
re b
elo
w I a
cknow
ledge th
e fo
llow
ing:
In th
e e
vent I c
annot b
e re
ached in
an e
merg
ency, I h
ere
by g
ive p
erm
issio
n to
the
physic
ian s
ele
cte
d b
y th
e Y
MCA to
hospita
lize, s
ecure
pro
per tre
atm
ent fo
r, and to
or-
der in
jectio
n, a
nesth
esia
, or s
urg
ery
for th
e w
ithin
nam
ed in
div
iduals
on th
is c
ard
. I u
nders
tand n
o a
ccid
ent o
r medic
al in
sura
nce is
pro
vid
ed w
ith th
is p
rogra
m.
The Y
MCA w
ould
like to
advis
e e
ach n
ew
mem
ber to
consult th
eir p
hysic
ian b
efo
re e
n-
gagin
g in
physic
al a
ctiv
ity, e
specia
lly p
ers
ons o
ver th
e a
ge o
f 35 a
nd a
ll pers
ons w
ith
know
n o
r suspecte
d h
eart d
isease.
I here
by g
ive Y
MCA, its
legal re
pre
senta
tives, o
r those fo
r whom
it is a
ctin
g, th
e a
bso-
lute
right a
nd p
erm
issio
n to
take, c
opyrig
ht, u
se, a
nd p
ublis
h p
hoto
gra
phs in
any a
nd
all m
edia
, for p
urp
oses o
f YM
CA a
rt, advertis
ing, e
ducatio
n, o
r pro
motio
n, o
r for a
ny
oth
er p
urp
ose c
onsis
tent w
ith th
e Y
MCA m
issio
n. I a
gre
e th
at th
e p
hoto
gra
ph b
ecom
es
the e
xclu
siv
e p
roperty
of Y
MCA a
nd I w
aiv
e a
ll rights
there
to. I w
aiv
e a
ll rights
to in
-spect a
nd/o
r appro
ve a
ny p
rinte
d m
atte
r that m
ay b
e u
sed in
conju
nctio
n w
ith th
e
photo
gra
ph a
nd th
e u
se to
whic
h it m
ay b
e a
pplie
d.
Paren
t or G
uard
ian
of C
hild
Reg
iste
red
for C
am
p:
NA
ME: _
__
__
__
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__
__
__
__
__
__
_
PH
ON
E _
__
__
__
__
__
__
_
SIG
NA
TU
RE: _
__
__
__
__
__
__
__
__
__
D
ATE _
__
__
__
__
__
__
__
If Paren
t or G
uard
ian can
not b
e reached
Perso
n to
contact in
an em
ergen
cy
Nam
e _______________
_____________ P
hone _
________________________________
Docto
r’s Nam
e _______
______________________________________
Prim
ary M
edical In
suran
ce Com
pan
y _
________
__________________________
Policy
Num
ber _
______
______________________________________
Know
n allerg
ies or o
ther p
ertinen
t med
ical info
rmatio
n _
____________________________
__________________________________________________________________________
__________________________________________________________________________