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SKATE CAMPS REGISTRATION Rocketown Summer Sessions 601 4th. Ave. South Nashville Tn. 37210 Phone: 615-843-4001 Fax: 615-843-4007
Mission: Rocketown Summer Sessions exists so that youth will be able to explore their interests and passions in film, dance, skateboarding, music and the arts while building deep relationships with positive, caring mentors who will listen and walk beside them. Objectives: 1) To encourage and inspire youth to explore their creative talents and voice. 2) To build confidence in youth’s gifts and abilities. 3) To bridge unity amongst Nashville’s diverse racial, social and economic backgrounds. 4) To promote personal growth by encouraging youth to step outside their comfort zone. 5) To develop rich mentoring relationships with local youth. _____________________________________________ Participants Name
_____ Age
_____________________________________________________ Parent/Guardians Name _____________________________________________ Street Address City/State _____________________________ Phone Number (parent)
________________________________ E-Mail Address (parent)
_____________________________________________ School ________________________________ Emergency Contact/relation
_____________________ Zip Code
_____________________ Grade in the Fall
________________________________ Phone Number
Full Day Camp (9AM-12PM, Mon-Fri) / $100 / Small Group Instruction Single Day Camp (9AM-12PM, Tues-Wed-Thurs) / $25 / Small Group Instruction Payment Method: Check ! Credit Card ! A $25 nonrefundable deposit is required per week. Scholarships are available. Contact
[email protected] for more info. Lunch and pre-care are an additional fee. For additional information or questions about Rocketown Summer Sessions please contact Rod Devore (
[email protected], 615-843-4001 ext. 216) or visit rocketown.org
Sixth Avenue Skatepark SUMMER CAMP REGISTRATION Please select the weeks you would like to attend. You may sign-up for as many weeks as you like. Single days are offered as well, pick from Tuesday, Wednesday,Thursday, or all 3! FULL DAY CAMPS (9AM-12PM) - $100
SINGLE DAY CAMPS (9AM-12PM) - $25
! JUNE 9th-13th
! Tues ! Wed ! Thurs
! JUNE 16th-20th
! Tues ! Wed ! Thurs
! JUNE 23-27
! Tues ! Wed ! Thurs
! JULY 7th-11th
! Tues ! Wed ! Thurs
! JULY 14th-18th
! Tues ! Wed ! Thurs
! JULY 21st-25th
! Tues ! Wed ! Thurs
Additional Options: ! Pre Care 8-9AM ($15/week)
! 1 week Skatepark Membership ($10/week) (7 Days of unlimited skateboarding)
! Lunch Special ($30/week)
T-Shirt Size: Youth Large !
Small !
Medium !
Large !
X-Large !
LUNCH: Rocketown does NOT provide lunch, however we do offer a lunch special for an additional $30. The Rocketown Lunch Special will feature fruit, chips and desert daily along with: corn dogs, cheese burgers, chicken sandwiches or pizza. The Rocketown Coffee Bar will also have burgers, hot dogs, drinks and additional lunch food available for purchase daily. PRE-CARE: Pre Care will allow individuals to arrive early, be supervised and take part in morning games, hangout with Rocketown staff and watch TV. LOCATION: Our camps take place either in our indoor facilities or our outdoor park, weather permitting. BELONGINGS: Each individual is responsible for his or her own belongings. skate camp participants.
Helmets are required for
I have read the mission and objectives for the Rocketown Summer Sessions Program, for which my son or daughter is applying, and agree to all stated expectations. I waive and release the use of his/her photograph or likeness for any reason or purpose.
_______________________________________ Parent/Guardian Signature
___________ Date
For additional information or questions about Rocketown Summer Sessions please contact Rod Devore (
[email protected], 615-843-4001 ext. 216) or visit rocketown.org
