Summer Sports Camps & Activities 2017 (All Grade levels are based on the 2017-2018 School Year.) Staley H.S. Ph.# 816-321-5330 Start Date End Date Day(s) Sport Grades Place Time Cost Special Equipment And/Or Notes Contact Ph.# E-mail (all tags are @nkcschools.org Camp Gift 5/9 5/11 Tu-Th Basketball-Girls 4 thru 8 Falcon Fieldhouse 5:30 pm - 7:30 pm $ 40 Basketball or Tennis Shoes Sherry Butts 816-321-5330 x- 4293 sherry.butts T-Shirt & Basketball 5/23 5/25 Tu-Th Basketball-Girls 9 thru 12 Falcon Fieldhouse 4:00 pm - 6:00 pm N/C Basketball or Tennis Shoes Sherry Butts 816-321-5330 x- 4293 sherry.butts N/A 5/30 6/2 Tu-F Basketball-Boys 1 thru 8 Falcon Fieldhouse 1:00 pm - 3:00 pm $ 40 Basketball or Tennis Shoes Chris Neff 816-321-5330 christopher.neff T-Shirt 6/5 6/8 M-Th Cross Country 5 thru 12 Meet at Student Entrance 7:00 am - 8:30 am $ 40 Running Shoes Todd Warner 816-321-5330 x- 4293 todd.warner Running Anly. & T- shirt Various Various M-F Marching Band Camp & Activities 9 thru 12 Band Room/Field/PA C Contact Director Mitchell for dates/times Var. Marching shoes, water, lunch Meara Mitchell 816-805-7834 meara.mitchell T-Shirt 5/9 5/11 Tu-Th Future Falcon Football K thru 8 District Athletic Complex 4:30 pm - 6:00 pm Free Football Shoes Phil Lite 816-321-5330 x-5564 phil.lite OR drew.white 5/25 7/22 See Coach Lite Football 9 thru 12 District Athletic Complex Pick up schedule from Football Coaches See Coach for fees Football Shoes Phil Lite 816-321-5330 x- 5564 phil.lite OR drew.white T-shirt 6/5 6/8 M-Th Soccer - Girls 9 thru 12 District Athletic Soccer Field 9:15 am - 10:45 am $ 40 Soccer Cleats & Water Bottle Johnny Chain 816-585-4142 johnny.chain T-Shirt 6/5 6/8 M-Th Soccer-Boys 9 thru 12 District Athletic Soccer Field 11:00 am - 12:30 pm $ 40 Soccer Cleats & Water Bottle Johnny Chain 816-585-4142 johnny.chain T-Shirt 6/6 6/8 Tu & Th Soccer - Youth 3 thru 8 District Athletic Soccer Field 6:00 pm - 7:00 pm $ 35 Soccer Cleats & Water Bottle Johnny Chain 816-585-4142 johnny.chain T-Shirt 6/20 6/22 Tu-Th Baseball 3 thru 6 Staley Field 9:00 am - 11:30 am $ 40 Baseball Hat, Glove, & Bat David Wilson 816-321-5330 x- 4293 david.wilson T-Shirt
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Summer Sports Camps & Activities 2017(All Grade levels are based on the 2017-2018 School Year.)
Staley H.S. Ph.# 816-321-5330
Start Date End Date Day(s) Sport Grades Place Time Cost
Special Equipment
And/Or Notes Contact Ph.#
E-mail (all tags are
@nkcschools.org Camp Gift
5/9 5/11 Tu-Th Basketball-Girls 4 thru 8Falcon
Fieldhouse5:30 pm - 7:30 pm $ 40
Basketball or Tennis Shoes
Sherry Butts816-321-5330
x- 4293sherry.butts T-Shirt &
Basketball
5/23 5/25 Tu-Th Basketball-Girls 9 thru 12Falcon
Fieldhouse4:00 pm - 6:00 pm N/C
Basketball or Tennis Shoes
Sherry Butts816-321-5330
x- 4293sherry.butts N/A
5/30 6/2 Tu-F Basketball-Boys 1 thru 8 Falcon
Fieldhouse1:00 pm - 3:00 pm $ 40
Basketball or Tennis Shoes
Chris Neff 816-321-5330 christopher.neff T-Shirt
6/5 6/8 M-Th Cross Country 5 thru 12Meet at Student
Entrance7:00 am - 8:30 am $ 40 Running Shoes Todd Warner
Student Entering Grades 9-12 Must have a MSHSAA Pre-participation Physical Evaluation Form Completed Pre-participation Physcial Evaluation forms can be found on-line at https://www.mshsaa.org/SportsMedicine/
All other needed forms for HIGH SCHOOL Student Athletes can be found at: https://staleyfalcons-mo.e-ppe.com
Physical Forms and PRIVIT Instructions are available on the Staley Website via Activities - MSHSAA AthleticsPhysical Forms and PRIVIT Directions may also be found in the Activities Office at Staley High School OR e-mail us at:
Please complete the following information by listing the camps you wish to attend.You may write one check for all camps. Make checks payable to : Staley H.S. Athletics.*Please note: some high school sports offer camps not sponsored by Staley H.S.These specific camps must be registered and paid for SEPARATELY.*
Alternate Contact Name & Phone #
Alternate Contact Name & Phone #
Grade in School 2015-2016 : _______* CAMP FEES ARE NON-REFUNDABLE
Participant's Name
Return completed form with payment to:Address
City, State, Zip
*The medical release information, on the reverse side of this form, must be completed. A MSHSAA PHYSICAL EXAM is required for all participants in grades 9-12.You can view/print the form at https://www.mshsaa.org/SportsMedicine/.
2017
2016-2017
2017
2016-2017
NORTH KANSAS CITY SCHOOLS MEDICAL RELEASE FORM
PHYSICAL EXAM IS REQUIRED FOR ALL PARTICIPANTS IN GRADES 9 – 12
Participants in grades 3 – 8 complete the following: Student Name: Grade Entering in August: Student Date of Birth: School Student Attends: Student Address: Parent or Legal Guardian Name: Telephone: (Home) (Work/Cell) Other Emergency Contact Name: Relationship to Student: Telephone: (Home) (Work/Cell) Family Physician: (Phone) Medical Insurance Company: Policy Number: I, the undersigned, being the parent or legal guardian of ,
allow him/her to participate in the Staley Summer Camp participating in