Burnet High School

Swimming & Diving (C)

Burnet Swim & Dive Camp - Session 1 - incoming 3rd grade through 5th grade

Camp Start Date:

August 1, 2022

Start Time:

9:00:00 AM

Camp End Date:

August 3, 2022

End Time:

10:00:00 AM

Venue Name:

Galloway Hammond Rec. Center

Venue Address:

1601 S. Water, Burnet, TX 78611

Camp Cost:

$50.00

Questions:

Liz Zamagni

lizzamagni33@gmail.com

(512) 756 - 4501

Special Notes:

Athletes should wear a bathing suit (one piece for girls), goggles, and bring a towel each day. Activities include: stroke technique & fundamentals (fly, back, breast, free), starts/turns/relays, introduction to diving, dryland drills. Each camper will receive a Bulldog Swim Cap.

Medical Info:

I hereby release Burnet CISD, including without limitations, its directors and employees, from and against any and all liability, injury sustained, damage to, or loss of personal property arising directly or indirectly while enrolled in the Burnet Swim & Dive Camp. Damage to the facility, when prove, will cause the offending swimmer to be held accountable for repairs.

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Burnet Swim & Dive Camp - Session 1 - incoming 3rd grade through 5th grade

First Name *
Last Name *
Mobile *
Email *
Grade (2022-2023 school year) *
Birth Date *
Address *
City *
State *
Zip Code *
Medical Information *

List Medications/Medical Conditions here. If none, type N/A

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Guardian First Name *
Guardian Last Name *
Guardian Cell Phone *
Guardian Email *
Alternate Guardian First Name
Alternate Guardian Last Name
Alternate Guardian Phone
Alternate Guardian Email
Medical Release Information
I hereby release Burnet CISD, including without limitations, its directors and employees, from and against any and all liability, injury sustained, damage to, or loss of personal property arising directly or indirectly while enrolled in the Burnet Swim & Dive Camp. Damage to the facility, when prove, will cause the offending swimmer to be held accountable for repairs.
Guardian Signature *

I, the parent/legal guardian, agree entirely to the Medical Release Information.: clear

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Burnet High School Swimming & Diving (C)

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$50.00

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Burnet Swim & Dive Camp - Session 1 - incoming 3rd grade through 5th grade

CAMPER INFORMATION

PARENT/GUARDIAN INFORMATION