Summer Full Count Registration

Your Child's Name *

First

Last

Does your child go by a nickname? If so, please tell us! *

Parent/Guardian Name *

First

Last

Parent/Guardian Phone *

Parent/Guardian Email *

Ethnicity (We are committed to equitable access to our Full Count program and the sport of baseball and softball, as you are comfortable, please check all that apply.) *

What school does your child attend? *

This camp is primarily for beginners. How many seasons of baseball/softball has your child played? *

Does your child have any allergies or other medical concerns we should know about? Tell us below. (You will be sent a medical waiver and other release forms after you register for providing more detailed information.) *

We welcome parent engagement in our program, what kind of support are you interested/able to provide during the week? (Mark any that apply) *

Play wiffle ball with us from 3:30-4:15 Staff our morning art provocation Apply for our Camp Coordinator position (must be available to work 8:30 - 5:00) Chaperone our field trip (Details TBD) Setup and/or staff our Full Count Family BBQ and Fan Fest Bring popsicles on a hot day Contribute to snacks from our daily snack list Help serve morning or afternoon snack

Camp will end with a family BBQ celebration on the last day of the session (June 22nd and August 10th) and you will get to participate in some of our favorite games and drills. Are you available to attend? *

Yes No

Please choose which Full Count Camp session you are registering your child for: *

Charles Jordan Community Center to be held June 18-22 Madison High School area to be held August 6-10

What can you tell us about your child that will help them have a great time at Full Count? *

We support children using self care techniques to help them stay engaged in our program activities by providing several stations for "calming" and "brain resets." What self care techniques does your child use that would help our coaches support them? *

The fee for the full week of camp per camper is $200. Full and partial scholarships are available. Please mark the choice below that makes Full Count accessible to you and others in the community. *

My family requests a partial scholarship. My family requests a full scholarship. Please invoice me the full fee of $200.

My child will just attend the camp day from 9-5. *

7:30 - 9:00 5:00 - 6:00

If yes, how many people in your family will be attending (provide the number of family members including your camper)? *