Date: Saturday, June 10-12

Camp shirt included if registered by May 31

Contact: Coach Dexter Beverly

540-818-6788

Dbeverly@smlca.org

Location: Osprey Baseball Field

Fee: $50

Session 1 —

Ages: 7-11

Time: 9:00am - 11:00am

Session 2 —

Ages: 12-18

Time: 11:30am - 1:30pm

Sign-Up coming soon!

Date: TBA

Contact: Coach Mike Greathouse

mgreathouse@smlca.org

2024 Summer Camps Form

Parent / Guardian Name

First Name

Last Name

Parent / Guardian Email

Parent / Guardian Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student Athlete's Name

First Name

Last Name

Student Athlete's Age

Shirt Size

Please list any health conditions / allergies of which the coaches and staff should be aware.

(Type none if this does not apply)

Please type your initials stating that you understand the cost of Osprey Football camp is $25 and that you will be redirected to pay via Venmo following the the submission of this form. If you prefer, you may also choose to pay cash the day of camp.

I hereby give my consent for my child to participate in the SMLCA Ospreys Football Camp. All personnel associated with the program shall not be held liable for any injury whatsoever my child may sustain in the activities thereof. I also certify that I know of any physical problems or conditions of my child which would impair participation in said program. In the event my child is injured, I authorize the coach, director, or their representative to secure first aid and/or the services of any legally qualified physician or hospital, and I agree to assume all financial obligations connected. (Please type your full name to serve as an e-signature).

Date: Saturday, June 29

Camp time: 8:00am - 12:00pm

Location: Osprey Football Field

Meal & Camp shirt included

Contact: Coach Kenis Maciel

540-520-5704

kmaciel@smlca.org

Grades: K-8

Registration: 7:30am

Fee: $25 (Venmo or Cash)

Please use 5069 if you need to verify the the recipient in Venmo.