Dear Parents/Guardians:
Does your child have a desire to develop their skill and excel in track and field athletics? Are you
looking to match their abilities with competent, age appropriate, training?
District 150 will be sponsoring its first Summer Track & Field Skills Camp for students entering
grades 5 to 8 during the 2015-2016 school year. Basic and intermediate skill level training and
instruction will be delivered for sprints, hurdles, distance running, jumps and throws.
If you are interested in your child attending the Fast Start Summer Track & Field Skills Camp,
please complete the following form and return it to your child’s current school or the district
office (3202 N. Wisconsin Ave.) no later than Friday, May 8th, 2015
SUMMER SKILLS CAMP DETAILS:
WHEN: Monday July 13th – Friday July 19th, (Monday-Friday)
LOCATION: Manual High School Russell Field
HOURS:
Breakfast: 8:30 a.m.
Training: 9:00 a.m. – 12:00 p.m.
Lunch: 12:00 p.m. – 12:25 p.m.
Busses arrive at 12:30 p.m.
INCOMPLETE FORMS AND THOSE THAT DO NOT HAVE A PARENT SIGNATURE WILL BE
RETURNED & THE STUDENT WILL NOT BE ENROLLED IN THE CAMP.
MAKE SURE ALL CONTACT INFORMATION IS CORRECT
You will receive a letter of acceptance with additional information.
If you have any questions, please contact Coach Harvey Burnett at 672-6542 or Marcy
Lee at 672-6600.
Sincerely,
Mr. Harvey Burnett
IHSA Certified Coach
Peoria Inner City Track & Field Club
Fast Start
Summer Track & Field Skills Camp
For 5th
to 8th
Grade Students
July 13th
-17th
, 2015
Fast Start Summer Track & Field Skills Camp
July 13- July 17, 2015
Registration Form
Must be returned no later than Friday, May 8th, 2015
Breakfast and Lunch will be provided
Student Name: _______________________________________________________________________
Current GRADE LEVEL: Gender ___M ___F Date of Birth: ________________
Circle One
Current School Your Child attends:__________________________________________________
School your child will attend in the 2015-2016 School Year: _____________________________
Parent/Guardian’s name: _________________________________________________________
Parent/Guardian’s address: _______________________________________________________
Parent/Guardian’s home phone # ___________________________ Work # ________________
Emergency contact person’s name: ___________________________ Phone # ______________
________YES My child WILL ATTEND the Fast Start Summer Track & Field Skills Camp
Parent Signature:______________________________________________________________
If attending the camp please provide the following information for transportation:
Pick Up Address: ____________________________________________________________________
Drop Off Address: ___________________________________________________________________
Shirt Size: YS YM S M L XL XXL
IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT YOUR CHILD’S CURRENT
SCHOOL OR COACH HARVEY BURNETT AT 672-6542 OR MARCY LEE AT 672-6600.
I understand that being a part of this skills development opportunity is an honor, not a
privilege and that inappropriate behavior will not be tolerated and can result in
immediate dismissal from the program.
PLEASE COMPLETE THIS FORM AND RETURN TO YOUR CURRENT SCHOOL OR
THE DISTRICT OFFICE NO LATER THAN FRIDAY MAY 8TH, 2015.
STUDENT I.D. Number:
___________________________

District 150 Summer Track Camp.2015

  • 1.
    Dear Parents/Guardians: Does yourchild have a desire to develop their skill and excel in track and field athletics? Are you looking to match their abilities with competent, age appropriate, training? District 150 will be sponsoring its first Summer Track & Field Skills Camp for students entering grades 5 to 8 during the 2015-2016 school year. Basic and intermediate skill level training and instruction will be delivered for sprints, hurdles, distance running, jumps and throws. If you are interested in your child attending the Fast Start Summer Track & Field Skills Camp, please complete the following form and return it to your child’s current school or the district office (3202 N. Wisconsin Ave.) no later than Friday, May 8th, 2015 SUMMER SKILLS CAMP DETAILS: WHEN: Monday July 13th – Friday July 19th, (Monday-Friday) LOCATION: Manual High School Russell Field HOURS: Breakfast: 8:30 a.m. Training: 9:00 a.m. – 12:00 p.m. Lunch: 12:00 p.m. – 12:25 p.m. Busses arrive at 12:30 p.m. INCOMPLETE FORMS AND THOSE THAT DO NOT HAVE A PARENT SIGNATURE WILL BE RETURNED & THE STUDENT WILL NOT BE ENROLLED IN THE CAMP. MAKE SURE ALL CONTACT INFORMATION IS CORRECT You will receive a letter of acceptance with additional information. If you have any questions, please contact Coach Harvey Burnett at 672-6542 or Marcy Lee at 672-6600. Sincerely, Mr. Harvey Burnett IHSA Certified Coach Peoria Inner City Track & Field Club Fast Start Summer Track & Field Skills Camp For 5th to 8th Grade Students July 13th -17th , 2015
  • 2.
    Fast Start SummerTrack & Field Skills Camp July 13- July 17, 2015 Registration Form Must be returned no later than Friday, May 8th, 2015 Breakfast and Lunch will be provided Student Name: _______________________________________________________________________ Current GRADE LEVEL: Gender ___M ___F Date of Birth: ________________ Circle One Current School Your Child attends:__________________________________________________ School your child will attend in the 2015-2016 School Year: _____________________________ Parent/Guardian’s name: _________________________________________________________ Parent/Guardian’s address: _______________________________________________________ Parent/Guardian’s home phone # ___________________________ Work # ________________ Emergency contact person’s name: ___________________________ Phone # ______________ ________YES My child WILL ATTEND the Fast Start Summer Track & Field Skills Camp Parent Signature:______________________________________________________________ If attending the camp please provide the following information for transportation: Pick Up Address: ____________________________________________________________________ Drop Off Address: ___________________________________________________________________ Shirt Size: YS YM S M L XL XXL IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT YOUR CHILD’S CURRENT SCHOOL OR COACH HARVEY BURNETT AT 672-6542 OR MARCY LEE AT 672-6600. I understand that being a part of this skills development opportunity is an honor, not a privilege and that inappropriate behavior will not be tolerated and can result in immediate dismissal from the program. PLEASE COMPLETE THIS FORM AND RETURN TO YOUR CURRENT SCHOOL OR THE DISTRICT OFFICE NO LATER THAN FRIDAY MAY 8TH, 2015. STUDENT I.D. Number: ___________________________