2024 All Girls Sports Camp

Summer Camp Registration
Athlete/s Information

If you would like to sign up more than 2 campers, just indicate the # of campers on the Session Selection Form near the bottom and we will contact you to get your remaining camper info.
Athlete 1 Name*

First NameLast Name
Athlete 1 Birth Date*

MonthDayYear
Athlete 1 Incoming Grade (2024-2025 School Year)*
Campers are typically grouped up with kids of their similar grade for the sports sessions to ensure safety and competitiveness. We always do our best to help the girls make new friends when they are at camp, however, if your child is signing up WITH a friend, please indicate their name and we will do our best to group them together:
(please note that it is not a good idea to put a much younger camper with a group that is 3 or more grades older for safety reasons)
Athlete 2 Name

First NameLast Name
Athlete 2 Birth Date

MonthDayYear
Athlete 2 Incoming Grade (2024-2025 School Year)
Campers are typically grouped up with kids of their similar grade for the sports sessions to ensure safety and competitiveness. We always do our best to help the girls make new friends when they are at camp, however, if your child is signing up WITH a friend, please indicate their name and we will do our best to group them together:
(please note that it is not a good idea to put a much younger camper with a group that is 3 or more grades older for safety reasons)
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
E-mail*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Authorized Pick Up People

Please list all people who are authorized to pick up your child from camp, in addition to the Parent/Guardian listed on this form.
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number
Do any of your athletes have any allergies, chronic illness, or medical conditions? If yes, please describe.
Are any of your athletes prescribed an inhaler? If yes, please explain any instructions.

PLEASE SELECT YOUR CAMP SESSION AND ANY TSHIRT OR CONCESSION ADD-ONS:*

6/3-6/6: Incoming High Schoolers Only, Indoor Soccer & Strength Camp Product Image

6/3-6/6: Incoming High Schoolers Only, Indoor Soccer & Strength CampOnly 5 spots remaining! Lakewood Ranch High School, 9am-2pm

$249.00 # of Campers

6/17-6/20: Incoming 1st - 8th Grade All Girls Sports Camp Product Image

6/17-6/20: Incoming 1st - 8th Grade All Girls Sports Camp4 spots left - Only accepting incoming 1st-3rd graders. All remaining spots are full! Lakewood Ranch High School, 9am-2pm

$249.00 Quantity

6/24-6/28: Incoming 1st - 8th Grade All Girls Sports Camp Product Image

6/24-6/28: Incoming 1st - 8th Grade All Girls Sports CampLimited Space! Mon- Fri at Girls Inc. (201 S. Tuttle Ave., Sarasota, FL 34237), 9am-2pm. Use code 199special for 20% discount.

$249.00 Quantity

Wrap-Around Care for Girls Inc. Camp Product Image

Wrap-Around Care for Girls Inc. CampGirls Inc. will provide wrap-around care for your daughter, allowing late pick up until 5:30pm. It is an additional $50 for the week. They will join in with Girls Inc. summer programming when they are not with Empowered Athletes.

$50.00 Quantity

Dri-Fit Camp TShirtPlease select your shirt size and quantity for Camper 1

$25.00 QuantitySize

Extra Dri-Fit Camp TshirtPlease select your shirt size and quantity for Camper 2

$25.00 QuantitySize

Daily FUEL Pack for Your Athlete Product Image

Daily FUEL Pack for Your AthleteDaily Fuel Packs include (1) healthy sports drink, (1) pre-packaged snack, and (1) whole foods snack PLUS (1) little "goodie/prize" served daily to your athlete during free time. Our food and drinks are carefully selected to fuel little athletes and do NOT include food dyes or added sugars.

$25.00 Quantity

Concession "Fuel" CreditWe will not be handling cash this summer - all concession credit will be held on your child's account. We pride ourselves in providing FUEL for our athletes! Healthy snack and drink options are carefully selected and do NOT contain food dye or added sugars. $5/day recommended for concessions.

$20.00 Quantity

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REFER A FRIEND to the June 24-28 session and get a FREE SHIRT or $25 BACK! Who referred you to this camp? Please include first and last name.
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Empowered Athletes - All Girls Sports Camp during the selected camp. In exchange for the acceptance of said child’s candidacy by Empowered Athletes - All Girls Sports Camp, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Empowered Athletes - All Girls Sports Camp and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Empowered Athletes - All Girls Sports Camp including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities offered at camp. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Refer a friend to our June 24-28 Session and receive a free shirt or $25 back! Who referred you to sign up for this camp? Please include first and last name.
Photo/Video Release
I hereby grant the Empowered Athletes - All Girls Sports Camp permission to use my child's likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications and social media, without payment or other consideration.*

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ALL PAYMENTS ARE NON-REFUNDABLE

Due to the logistics involved in booking facilities and hiring qualified staff, all payments are non-refundable. Registrations CAN be transferred to another session date, subject to availability, by emailing us at coledanellerich@gmail.com with your transfer request, up to 1 week before your session date.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Summer Camp Registration

Athlete/s Information

Photo/Video Release