SPOTSYLVANIA SHERIFF'S OFFICE YOUTH SUMMER CAMPS 2018 The Spotsylvania Sheriff's Office is sponsoring youth sports camps for Spotsylvania County Residents. The camp is designed to build character and to teach each player in basic fundamentals of , , Soccer, and . Emphasis will be placed on positioning, skills, and overall knowledge of the sport. Each player will have the opportunity to learn new skills and to improve existing skills. It may become necessary to change dates, due to unforeseen departmental emergencies. Participants need to wear athletic shorts, athletic socks, cleats or appropriate footwear. SHIRTS WILL BE PROVIDED AND MUST BE WORN EACH DAY. (One shirt per participant)

NFL Legends Football Soccer Age: 6 to 18 years old Age: 7 to 13 years old Dates: June 18 - 21, 2018 (Mon.-Thur.) Dates: June 25 - 28, 2018 (Mon.-Thur.) Time: 9:00 AM - 12:00 Noon Time: 9:00 AM - 12:00 Noon Location: Location: Chancellor Middle School Fees: FREE! Fees: FREE! Online registration only at: www.spotsylvaniasheriff.org

Baseball Wrestling Age: 7 to 14 years old Age: 7 to 12 years old Dates: July 9 - 13, 2018 (Mon.-Fri.) Dates: July 23 - 26, 2018 (Mon.-Thur.) Time: 9:00 AM - 12:00 Noon Time: 9:00 AM - 12:00 Noon Location: Sunshine Ball Park Location: (1200 Wicklow Dr) Fees: FREE! (Fredericksburg, VA 22401) Fees: FREE!

Bus Transportation available (see reverse)

Volleyball Basketball Age: 10 to 14 years old Age: 7 to 13 years old Dates: July 23 - 26, 2018 (Mon.-Thur.) Dates: July 30 - Aug. 2, 2018 (Mon.-Thur.) Time: 9:00 AM - 12:00 Noon Time: 9:00 AM - 12:00 Noon Location: Spotsylvania High School Location: Fees: FREE! Fees: FREE!

Registration: April 9 - June 8, 2018 - To register, complete this registration form and return it to your school counselor or the lobby of the Sheriff's Office located at 9119 Dean Ridings Ln, Spotsylvania VA 22553. YOU MUST REGISTER TO PARTICIPATE. SPOTSYLVANIA COUNTY RESIDENTS ONLY. An e-mail will be sent for registration confirmation and will include dates and times of camp. Please Complete Registration Form on Back and Return ***For more information call: Senior Deputy Larry Dibella at (540) 507-7498 Ext. 3920*** Spotsylvania Sheriff's Office Baseball For Badges Camp Bus Information To assist with travel arrangements for children interested in attending, transportation will be provided from two locations in the county. Busses will leave these locations promptly at 8:30am to ensure the camp starts on time, and will return around 12:30pm for parent pick up. For the safety of all children, please make sure that you arrive on time to pick up your child after camp is complete for the day. When completeing the form below, please indicate which location your child will be going to for transportation. If you choose, you may also provide your own transportation for your child, if desired. Transportation Locations will be Spotswood Baptist Church or Spotsylvania Sheriff's Office: Public Safety Building (9119 Dean Ridings Lane; the large parking lot in front of the Public Safety Building) Spotsylvania Sheriff's Office Youth Summer Camps CAMP REGISTRATION FORM

Please Print Legible –

First: Last: Boy: Girl:

Complete Address:

Telephone Number: Home: Parent's Cell:

Date of Birth: Age: Height: Weight:

Camps Attending (Check all that apply):

NFL Legends Football Soccer Baseball Online Registration Only No Transportation Needed www.spotsylvaniasheriff.org Spotswood Baptist Church Spotsylvania Sheriff's Office Public Safety Building

Wrestling OR Volleyball Basketball (These camps are scheduled for the same dates due to the shortened summer.) Shirt Size (Circle One): Youth Medium (10-12) Youth Large (14-16) Youth X-Large (18-20)

Adult Small (34-36) Adult Medium (38-40) Adult Large (42-44) Adult X-Large (46-48)

School Attending (Next School Year):

Medical Conditions, Injuries, or Allergies:

Emergency Contact: Name: Phone: (Primary) Emergency Contact: Name: Phone: (Secondary) PARENTAL CONSENT AND WAIVER OF PARTICIPATION: I, the undersigned, do agree to indemnify and hold harmless Spotsylvania County, and the officers, employees and agents thereof, and Spotsylvania County School authorities, from any and all claims or liability, including attorney's fees and costs for any personal injury or other damage suffered as a result of participating in a camp. I realize that the sports above are challenging and inherently have the possibility of injury. I understand that medical insurance is advisable and that payment for any emergency medical, hospital, or physician treatment rendered for my child is my responsibility. I will not hold the Spotsylvania County Sheriff's Office, nor their representative liable in case of accident or injury.

Signature of Parent (Legal Guardian): Date:

Print Name: Email Address (please print):