2007 Owasso Rams Throwing Camp

REGISTRATION FORM

Date:  Feb 17^th and 18^th

Time:  1 p.m. to 5 p.m.

LOCATION: Owasso High School Track

12901 East 86^th Street North Owasso, OK 74055

Please bring your own implements, throwing shoes and lots of water!

NAME: ________________________________________________________________

ADDRESS: _____________________________________________________________

CITY: _________________ STATE: ____ ZIP: ________ AGE: ________ SEX: _____

PARENT/GUARDIAN'S NAME:

_______________________________________________________________________

PARENT/GUARDIAN'S EMAIL: ______________________________________

HOME PHONE: ___________________ WORK PHONE: _________________________

EVENT: __________________________ PERSONAL BEST MARK: _______________

COST OF CAMP: $100

SEND APPLICATION AND PAYMENT TO:

Caleb Seal

11113 N 143^rd E Ave

Owasso, OK 74055

(918) -770-2128

I, ______________________________, the parent/guardian of__________________________,

herby give permission to the Owasso Rams Throwing Camp to authorize medical care on the above name child. I also hereby waive and release Caleb Seal, Owasso High School, and the staff of the Owasso Rams Throwing Camp from any responsibility for injuries and/or medical expenses incurred during the Owasso Rams Throwing Camp.

Special Medical Concerns:

______________________________________________________________________________

Parent/Guardian Signature: _______________________________________________

Date: ___________________________________________________________________