July 24-26, 2012 For ages 4 - 14 9 a.m. - 1 p.m. Newberry College ...

Come join the Newberry Cheerleaders, Scar,and coaching staff for a camp filled with learningand work on all aspects of cheerleading includingcheers, dances, jumps, and basic stunting.Only Personal checks, money orders, and/or Cash will be accepted.(Make Checks Payable to Lindsey Barwick Cheer Camp on first day of camp)Or fax to Lindsey Barwick at (803) 321-5169Lindsey BarwickHead Cheer Coach, Newberry College2100 College StreetNewberry, SC 29108Mail registration form by July 16 to :CHEER CAMPJuly 24-26, 2012For ages 4 - 149 a.m. - 1 p.m.Newberry CollegeThe final cheer performance will be at noon onJuly 26.Eleazer Arena

HEAD COACHLINDSEY BARWICKLindsey Barwick washired as head cheerleadingcoach at NewberryCollege in May2012.Barwick has over 15years of cheerleadingexperience including four years on the all-girlsquad at the University of South Carolina from2005-09.She has four years of coaching, choreographyand camp instructor experience at LassiterHigh School in Marietta, Ga., Sandy Creek HighSchool in Tyrone, Ga., Action Cheer and Tumblein Columbia, S.C. and Cheersport summer staff.She has been the head coach at Sandy Creekfor the past two seasons.FUTURE WOLVES NAME:______________________________________AGE: ______ GRADE: _______T-Shirt: _____ YS ____YM _____YL _____AS____AM _____ AL ____ AXLAddress: _____________________________________________________________________Parent(s) Name: ______________________________________________________________1. Home Phone: ____________________Cell: _______________Work: ____________________2. Home Phone: ____________________Cell: _________________Work: ____________________Email for confirmation: ___________________Insurance Co: __________________________Policy #: _______________________________Physician’s Name: _______________________Number: ______________________________Allergies: ___________________________________________________________________Special Instructions: ________________________________________________________________________________________________________________________________________________________________________REGISTRATION COST IS $75CAMP WAIVER ANDRELEASE OF LIABILITY AGREEMENTIn consideration for my child being permitted to participate in NewberryCollege’s Cheer Camp, related events and activities, the undersignedacknowledge and agrees that:as the natural parent and/or as the legallyauthorized guardian, do hereby for myself, and on behalf of my/our heirs,personal representatives, and assigns, agree not to sue and hereby release,waive, discharge, hold harmless and indemnify and forever defend NewberryCollege, its members of the Board of Trustees, the Newberry College AthleticsDepartment, individually and collectively, its officers, employees, servants,agents, and directors, from any and all liability, losses, claims, actions, suits,procedures, demands, rights, and causes of action of whatever nature, inlaw and equity, for any and all known or unknown, foreseen or unforeseen,bodily or personal injuries, death and permanent injury, illnesses, damage toproperty, or other losses, and any consequences thereof, including expenses,costs, and attorney’s fees, as may be sustained by my child or me arising outof or in any way associated with my child’s participation in Newberry College’sCheer Camp, or travel incident there to, whether by negligence or notto the fullest extent permitted by law.The risk of serious injury to my child from these camp activities does existincluding the potential for permanent disability and death. I understand andfully acknowledge that my child’s participation in these activities is solely atour own risk and I assume full responsibility. I hereby further declare thatmy child has had a physical examination within the past one- (1) year and isphysically able to participate in all camp activities.Moreover, I hereby understand and affirm that the camp only provides forexcess medical insurance and any charges including deductibles related tothe medical care provided to my child will be the responsibility of my primaryinsurance carrier or me.Newberry College’s Cheer Camp is open to any and all entrants, limitedonly by number, age, grade level and/or gender. If deposit is required, a refundmay be provided one (1) week prior to start date. For all balances dueat registration, no refund is provided for days absent or any part of the daymissed once payment is received.I HAVE CAREFULLY REVIEWED AND VOLUNTARILY AGREETO THE TERMS OF THIS CAMP WAIVER AND RELEASE OFLIABILITY AGREEMENT.Parent/Guardian Name (Print)Parent/Guardian SignatureParticipant NameDate____________________________________________________________________________________________________