Jump Camp 2022 Registration
Please read this form carefully and complete it in its entirety.  Jump Camp will be held on Mondays and Thursdays on the Beekmantown High School Turf Field starting Thursday, June 30th and ending Thursday, August 12.  There will be no session on Monday, July 4.  Athletes entering 7th grade for the 2022-2023 school year are eligible to attend.

We are returning to the pre-covid format of Jump Camp. Each camp day, there will be an 8 a.m. session and a 6 p.m. session.  Athletes choose the session that works best for them that day.  Campers will no longer have to sign up for the sessions they attend.  There will also be hill workouts on Saturday mornings. If you have any questions, email Scott Cutaiar at cutaiar.scott@bcsdk12.org.  
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Email *
Camper #1 First and Last Name (See below if registering more than one child in the case of siblings) *
Camper #2 First and Last Name (skip this question if only registering one camper)
Camper #3 First and Last Name (skip this question if only registering one camper)
Camper's School *
Grade Camper is Entering (entering 7th grade in the 2022-2023 school year is the first year campers are eligible to attend) *
Allergies
Shirt Size (Adult Sizes) (See the next question if you are registering more than one camper)
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Shirt Size - If you are registering more than one camper (in the case of siblings), please put names and shirt sizes below.  If you are registering only one camper, skip this question.
Parent Name(s) *
Parent Cell Phone #1 *
Parent Cell Phone #2
Street Address *
City/Town *
Zip Code *
Emergency Contact #1 Name *
Emergency Contact #1 Cell Number *
Emergency Contact #2 Name
Emergency Contact #2 Cell Number
Past Injuries that have taken camper out of sports or anything you'd like camp staff to know.
I acknowledge that I will prescreen my child prior to every Jump Camp session.  If my child has a fever, chills, cough, shortness of breath or difficulty breathing, unusual fatigue, unusual muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea, vomiting, or diarrhea, I will not send my child to Jump Camp. *
Required
I acknowledge that if my child tests positive for COVID-19, I will inform Scott Cutaiar, Camp Director.  Scott will not disclose the name of your child to anyone other than a representative of the Clinton County Health Department. *
Required
I acknowledge that participation in athletics, contact or non-contact, involves a certain amount of risk to injury or illness.  Additionally, I acknowledge that my child is covered by a medical insurance policy and should any injury or illness occur while he or she is at Jump Camp, I will be responsible for any medical expenses.  Knowing this, I give my child permission to participate in Jump Camp. In the event that I cannot be contacted, I give my permission for a hospital or doctor to administer treatment to my child, in the case of an emergency, while under the supervision of my emergency contact or designated Jump Camp personnel *
Required
Payment - Please choose the payment method below that works best for you and follow the directions for payment. The cost for camp is $100 per camper, $160 for 2 siblings, or $220 for 3 siblings. *
A copy of your responses will be emailed to the address you provided.
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