JBSSummerCampsandOpenFacilities–2018(AllathleticfacilitieswillbeclosedfromJuly28th-August5th)

Sport Dates/Times/Locations ContactInformation BoysBasketball KirkseySummerBasketballCamp(Rising1st-8thgrade) CoachChrisKirksey June9,10,16,17,23,24,30 chrisakirksey@sbcglobal.net July1,7,8,14,15 (Rising1st-4th)-9:30am-10:45am@JBS (Rising5th-8th)-10:45am-12:30pm@JBS Cost:$25.00persessionor$200.00forallsessions GirlsBasketball SummerLeagueGames(VarsitybyInvitationOnly) CoachJohnMerritt June4-7,June11-14,June18-21,June25-28 jmerritt@jburroughs.org TimesTBA 314.993.4040,ext.273

KirkseySummerBasketballCamp(Rising1st-8thgrade) CoachChrisKirksey June9,10,16,17,23,24,30 chrisakirksey@sbcglobal.net July1,7,8,14,15 (Rising1st-4th)-9:30am-10:45am@JBS (Rising5th-8th)-10:45am-12:30pm@JBS Cost:$25.00persessionor$200.00forallsessions FieldHockey BomberHockeyCamp(Rising7th-8thgraders)& CoachMeridithThorpe

(Rising9th-12thgraders) mthorpe@jburroughs.orgJune11-15 31.993.4040,ext.2704:00pm-6:30pm@JBSCost:$155.00**Registrationformbelow**NorthwesternUniversityTeamCamp(Rising9th-12thgraders)July8-11http://www.northwesternfieldhockeycamp.comJuniorFieldHockey/LacrosseAcademy(Rising3rd-6thgraders)May29-June14:00pm-6:30pm@JBSCost:$150.00**Registrationformbelow**

Football TeamCampI CoachJohnMerritt June18-21 jmerritt@jburroughs.org 6:00pm-8:00pm@JBS 314.993.4040,ext.273 TeamCampII July17-20 6:00pm-8:00pm@JBS Cost:$100.00forbothsessions

GirlsLacrosse BomberLacrosseCamp(Rising7th-8thgraders)& CoachMeghanDiGiulio(Rising9th-12thgraders) mdigiulio@jburroughs.orgJune4-64:00pm-6:00pm@JBSCost:$100**Registrationformbelow**JuniorFieldHockey/LacrosseAcademy(Rising3rd-6thgraders)May29-June14:00pm-6:30pm@JBSCost:$150.00**Registrationformbelow**

BoysSoccer Kickarounds(Rising7th-12thgrade) CoachAlanTrzecki July2,3,5,9,11,12,16,18,19 atrzecki@jburroughs.org 6:00pm-7:30pm@JBS 314.993.4040,ext.313 Friendlies(Rising9th-12thgrade,InvitationOnly) July23,24,25 TimeTBD@ChaminadeVolleyball JBSVolleyballCamp(Rising4th-8thgrade) CoachWayneScott July9-12 scottiejump@yahoo.com 5:00pm-7:30pm@JBSFieldHouse/AthleticCenter Cost:$100.00 **Registrationformbelow**Strength&Speed Strength&SpeedCamp(Rising7th-12thgrade) CoachKevinKinney June18-July26 kkinney@jburroughs.org @JBS 314.993.4040,ext.285 **RegistrationformonJBSAthleticsWebsite**

2018 Bomber Hockey Camp

Eligibility: Open to ALL JBS students, rising 7th – 12th Grade Dates: Monday, June 11th through Friday, June 15th

Time: 4:00 - 6:30 pm Location: The hockey field (field house in the event of inclement weather)

Cost: $155.00 checks payable to John Burroughs School Mail: John Burroughs School Attention: Meridith Thorpe

755 South Price Road St. Louis, MO. 63124

Questions: Please contact Meridith Thorpe at (314) 993-4045 ext. 270, mthorpe@jburroughs.org Participant’s Name ________________________________________________________________________ Year in School (just completed) _____________ Address _________________________________________________________________________________ City, State, ZIP ___________________________________________________________________________ Home Phone _______________________________ Cell Phone ____________________________________ Student’s Email Address ____________________________________________________________________ Parent’s Email Address _____________________________________________________________________ _________________________ has my permission to attend the John Burroughs Field Hockey Camp on June 11-15, 2018. We release and waive any claims that may arise against John Burroughs School, its faculty, and employees from any liability, including but not limited to personal injury or property loss or damage arising directly or indirectly out of my child’s participation in the field hockey camp. We agree to indemnify and hold John Burroughs, its faculty and employees harmless from any and all such liability or claim from damages. The school has on file our signed permission for medical treatment. In addition, if we cannot be reached and in the event of emergency, we also have given consent for the school to obtain through a physician or hospital of its choice, such medical care as is reasonably necessary for the welfare of the student if she is injured in the course of activities in the camp. The MSHSAA suggests that a student shall not be permitted to participate in a summer camp until it has verification that she has basic athletic insurance coverage. Our daughter has student accident insurance through John Burroughs School, but this insurance is secondary to her parents’ medical coverage; our daughter is covered in the plan listed below. Name of Medical Insurance Carrier ___________________________________________________________ Plan Number ____________________________________________________________________________ Policy Number ___________________________________________________________________________ Subscriber I.D. Number ____________________________________________________________________ Parent/Guardian Signature __________________________________________________________________

John Burroughs School Junior Field Hockey and Lacrosse Academy Who: 3rd – 6th Grade Students (Rising)

What: Youth Field Hockey & Lacrosse Camp Where: John Burroughs Field Hockey Field When: Tuesday, May 29th – Friday, June 1st

Time: 4:00 - 6:30PM Cost: $150.00 checks payable to John Burroughs School

Mail: John Burroughs School Attention: Meridith Thorpe

755 South Price Road St. Louis, MO. 63124

The lacrosse and field hockey program are rooted in strong, rich tradition and we strive to share that with St. Louis community youth. This opportunity allows kids the chance to play both in a fun, environment on a beautiful turf field on the John Burroughs Campus. We look forward to working with you this summer! Questions? Please contact us at the following. Meghan DiGiulio: (314) 452-5244 Email: mdigiulio@jburroughs.org Meridith Thorpe: (314) 993-4045 ext. 270 or (614) 638-7949 Email: mthorpe@jburroughs.org What to Bring:

• Field hockey and Lacrosse Stick • Shin Guards • Molded Mouth Guard • Googles • Water Bottle • Sunscreen

What to Wear:

• Sneakers • Comfortable athletic Wear

Please note that we will have extra equipment (sticks, shin guards, etc.) available for those that need and/or forget.

John Burroughs School Junior Field Hockey and Lacrosse Academy

Registration Form Participant’s Name ________________________________________________________________________ Address _________________________________________________________________________________ City, State, ZIP___________________________________________________________________________ Home Phone _______________________________ Cell Phone ____________________________________ Email Address ____________________________________________________________________________ Elementary School ___________________________________ Grade just completed _____________________________ _________________________ has my permission to attend JBS Junior Field Hockey/Lacrosse Academy on May 29 – June 1, 2018 at John Burroughs School. We release and waive any claims that may arise against John Burroughs School, its faculty, and employees from any liability, including but not limited to personal injury or property loss or damage arising directly or indirectly out of my child’s participation in the field hockey camp. We agree to indemnify and hold John Burroughs, its faculty and employees harmless from any and all such liability or claim from damages. In addition, if we cannot be reached and in the event of emergency, we also have given consent for the school to obtain through a physician or hospital of its choice, such medical care as is reasonably necessary for the welfare of the student if she is injured in the course of activities in the camp. The MSHSAA suggests that a student shall not be permitted to participate in a summer camp until it has verification that she has basic athletic insurance coverage. Name of Medical Insurance Carrier ___________________________________________________________ Plan Number ____________________________________________________________________________ Policy Number ___________________________________________________________________________ Subscriber I.D. Number ____________________________________________________________________ Parent/Guardian Signature __________________________________________________________________

BOMBER GIRLS’ LACROSSE CAMP REGISTRATION FORM Athlete’s Name:________________________________________________________________ Parent/Guardian:_______________________________________________________________ Address:______________________________________________________________________ City:______________________________________ State:___________ Zip:________________ Home Phone:____________________________ Cell Phone:____________________________ Email:_________________________________________ Grade (fall of ‘18):_____________ Emergency Contact Information: Name: ___________________________________________ Phone: _______________________ Family Physician: __________________________________ Phone: ______________________ Hospital Preference: _____________________________________________________________ Allergy Information: _____________________________________________________________ Limitations/restrictions: __________________________________________________________ Medications: ___________________________________________________________________ Bomber Lacrosse Camp Information: Ages: rising 7th-12th grade girls Dates: Monday, June 4th-Wednesday, June 6th Time: 4:00pm-6:00pm Location: John Burroughs Field Hockey Field (Clayton Road entrance) Cost: $100 (checks payable to John Burroughs School) Players will need a stick, mouth guard, goggles and water bottle Questions? Please email: Meghan DiGiulio (mdigiulio@jburroughs.org) **Please send registration form and check (make check payable to John Burroughs School) to Meghan DiGiulio: 755 South Price Road, St. Louis, MO 63124. We (I), hereby request that you accept the application for enrollment of ______________________ in the Bomber Lacrosse Camp during the dates set forth in this application. We (I) hereby release, John Burroughs School and employees, from all claims as a result of any injuries, which may be sustained by my child while attending the Bomber Lacrosse Camp. We (I) hold JBS blameless for any claims, which may hereafter be presented by my child as a result of any such injuries. We (I) authorize the employees of Bomber Lacrosse Camp to act for me using their best judgment in any situation requiring medical attention. We (I) know of no physical conditions, which might affect my child’s ability to safely participate in the camp. Parent/Guardian Signature____________________________________________________________________ Date_________________________

2018 VOLLEYBALL CAMP REGISTRATION FORM

Athlete’s Name________________________________________________________________

Parent/Guardian _______________________________________________________________

Address______________________________________________________________________

City______________________________________ State___________ Zip________________

Home Phone____________________________ Cell Phone____________________________

Email _________________________________________ Grade (fall of 18’) _____________

Emergency Contact Information:

Name: ___________________________________________ Phone Number_________________

Family Physician __________________________________ Phone Number ____________________

Camp Details: JBS Field House and Athletic Center Monday, July 9 – Thursday, July 12 (4 days) 5:00pm – 7:30pm each day T-Shirt Size (circle one): 4th - 6th Grades $100/player Youth Small Adult Small

Youth Medium Adult Medium 7th - 8th Grades $100/player Youth Large Adult Large

Adult X-Small Adult X-Large

**Please send registration form and check (make check payable to John Burroughs School) to Hollie Cosentino: 755 South Price Road, St. Louis, MO 63124.

We (I), hereby request that you accept the application for enrollment of ______________________ in the JBS volleyball camp during the dates set forth in this application. We (I) hereby release, John Burroughs School and employees, from all claims as a result of any injuries, which may be sustained by my child while attending the JBS volleyball camp. We (I) hold JBS blameless for any claims, which may hereafter be presented by my child as a result of any such injuries.

We (I) authorize the employees of John Burroughs Volleyball Camp to act for me using their best judgment in any situation requiring medical attention. We (I) know of no physical conditions, which might affect my child’s ability to safely participate in the camp.

Parent/Guardian Signature____________________________________________________________________

Date_________________________

2018 Kirksey Basketball Summer Camp Players can attend any and/or all the dates available. Session I – For 1st – 4th Grades Rising Coed, 9:30 -10:45am Session ll – For 5th - 8th Grades Rising Coed, 10:45 – 12:30pm, Sessions dates – June - 9,10,16,17,23,24,30

July 1,7,8,14,15 Cost $25 per participant per session or $200 for every session Please Select Session by marking circle: Session I - ○ Session II - ○ * All sessions will be directed by Chris Kirksey who is currently a JBS basketball coach. Previous coaching experience includes Ladue High school JV boys, Ladue Middle school 8th grade boys and girls, and Block Yeshiva HS Varsity girls. Chris played his high school basketball at SLUH and college basketball at Austin College earning Honorable Mention All-America honors his senior year. * Each camper should bring his basketball and wear a reversible jersey to each session. * All sessions will be held at JBS in the Fieldhouse or The Memorial Gym (upstairs). PARTICIPANT INFORMATION: Please include all pertinent information below Last Name: ____________________________First Name:________________________ Address: _____________________________________________________ City: __________________________ State: ____________ Zip: _________ Home Phone: _____________________ Cell Phone: __________________ Grade: ____________ School: __________________________________ Parent’s Name: ____________________________Email Address: _______________ Program Site: John Burroughs High School (JBS) in the Fieldhouse @ 755 Price Road, St. Louis, MO. 63124 Checks should be made payable to Chris Kirksey. Questions can be directed to him @ chrisakirksey@sbcglobal.net or 314.280.9645 Please mail your application and check payable to: Chris Kirksey 1280 Laclede Station Road St. Louis, Mo. 63117