RIC Employee How didyoufindoutaboutRICSportsCamps / TownSchool Name ofparentorguardian Age Email (required)Male Home Telephone City Address Camper Name 7/19 -7/23 7/12 -7/16 7/12 -7/16 7/12 -7/16 7/12 -7/16 7/12 -7/16 7/5 -7/9 7/5 -7/9 7/5 -7/9 7/5 -7/9 6/28 -7/2 6/28 -7/2 6/28 -7/2 6/28 -7/2 Basketball Tennis Softball Soccer Basketball Baseball Softball Soccer Basketball Baseball Tennis Softball Basketball Baseball Registration Form Yes Female

(responsibleforfullpayment&pickupofchild) No Grade (asofSept.2020) Emergency Phone(required) State 8/9 -8/13 8/9 -8/13 8/2 -8/6 8/2 -8/6 8/2 -8/6 7/26 -7/30 7/26 -7/30 7/26 -7/30 7/26 -7/30 7/19 -7/23 7/19 -7/23 8/9 -8/13 7/19 -7/23 $45 Zip Soccer Gymnastics Volleyball Gymnastics Lacrosse Volleyball Soccer Gymnastics Basketball Volleyball Lacrosse Tennis Gymnastics

Department of Intercollegiate Athletics Rhode Island College 600 Mt. Pleasant Avenue Providence, RI 02908 2021 SUMMERCAMPS BASKETBALL VOLLEYBALL LACROSSE SOFTBALL BASEBALL AGES 7-15 AUGUST 13 SOCCER TENNIS JUNE 28-

IMPORTANT INFORMATION Ages Boys & Girls ages 7-15 The Murray Fill out the Center Early Registration Rate (Register by June 1st) registration $150 per week / $180 per week (Extended Day) information and The Rhode Island College summer sports camps, directed by some of the area's 2021 Summer Camp Rate register today! $200 per week/ $245 per week (Extended Day) finest coaches and student-athletes, provide outstanding instruction and Daily Schedule competition in a fun and Drop-off 8 - 8:30 a.m. Recreation exciting environment. Instruction & Competition 8:30 a.m. - 12:30 p.m. Center Pick up 12:30 p.m. Extended Day Program 12:30 - 4 p.m. Extended Day Pick Up 4 - 4:30 p.m.

Extended Day Program Lunch at RIC’s Donovan Dining Center (Lunch is available for purchase or campers can bring their lunch) Pontarelli Field After lunch, swimming takes place in the college's newly renovated natatorium. Facilities $200 a week per child Camp is held on the Rhode Island College athletic Extended Day Program: $45 Additional fields, tennis courts, in the Murray Center, and in the college’s state-of-the-art Recreation Center. Consent of Treatment Limitation and Waiver of Liability In partial consideration of our child’s acceptance into Rhode Island The soccer, lacrosse & General Information College Summer Sports Camp, I/we, as parents and/or legal guardians of: Campers receive quality instruction, will be tennis courts at grouped by age and ability, learn fundamental skills Rhode Island College and compete in games and contests. Each do hereby agree to waive all liability of the Rhode Island College Sports camper will receive a free camp T-shirt along with Camps, Rhode Island College, the Rhode Island Board of Education, its a drink each day. staff, physicians and members, for any accident, injury, illness or other mishap which might befall the above named camper while traveling to or from, or during his/her attendance at the Rhode Island College Sports Important Registration Information Camps. This waiver and consent is executed with the understanding that Please sign the consent form on this page and there is risk of contracting COVID-19 even with implemented protocols completely fill out the registration information on the follow- in place ing page. PLEASE NOTE: The parent or guardian who EARLY REGISTRATION RATES submits registration is responsible for FULL PAYMENT Further I/we hereby grant permission to the staff and physicians of or BALANCE PRIOR TO THE FIRST DAY of camp AND Rhode Island College, any medical or surgical consultant deemed $150 per week authorization of others for pick-up or early dismissal each advisable, and any hospital to render the above named camper any day. Campers WILL NOT be released to anyone who is not medical and surgical treatment that they deem necessary. I/we under- $180 per week (Extended Day) stand that all possible effort will be made to inform me/us in case of such authorized by the individual submitting registration. treatment.

Register by June 1st For latest updates, including COVID-19 protocols, visit: Parent/Legal Guardian’s Name (print): ______

to receive discount www.Goanchormen.com Signature ______or call (401) 456-8007 Make sure to check out our early registration discount information!