Pickleball Camp
What:  Practice the fundamentals of Pickleball and play matches with friends.
Who: Grades 3-5
When:  4 weeks, 3:00-4:15
Camp 1: Mondays, April 29 – May 20
Camp 2: Thursdays, May 2 – May 30 (no camp on May 16)
Where: Wilson Gym
Registration closes, Monday, April 15, 9pm
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Student first and last name *
Class *
Camp 1: Mondays, April 29 – May 20
Camp 2: Thursdays, May 2 – May 30 (no camp 5/16)
 *
Parent/Guardian first and last name *
Parent/Guardian cell phone: (000-000-0000 format) *
Parent/Guardian email: *
An after school activity bus will be available for students that are signed up to bus to Wilson
Medical Conditions
If your student has any medical conditions or takes medications, it is important that all health concerns are up-to-date with the nurse at the school.  
Does your student have a medical plan that requires an intervention, such as the administration of an inhaler, insulin, EpiPen, or any other medication or action while the student is attending school? *
I authorize qualified emergency medical professionals to examine and in the event of injury or serious illness, administer emergency care to the above named student. I understand every effort will be made to contact me to explain the nature of the problem prior to any involved treatment.
*
In the event of an emergency, I wish the following person to be notified if I cannot be contacted: *
Emergency contact phone number for person listed above *
Media Consent: I consent to have my child photographed for Wilson Elementary School & Wilson Parent Teacher Group for distribution only to the Wilson Community (i.e. pawprints newsletter, yearbook, PTG website). No names will be used.
 *
SPS Activity Permission Form
I, the undersigned parent or guardian of the above named student, give my permission for my student to participate in Wilson elementary Art After School program.

I understand the School District does not provide medical insurance for my student for purposes of this activity, and I am solely responsible for providing such insurance and for payment of any medical treatment expenses for my student that are not covered by insurance. 

I have read the foregoing information, verifying its accuracy, and agree to the statements made above. Parent/Guardian type you name below as signature.
*
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