Summer Camp Registration 2022

 

     Register Here for Buckley Basketball (boys and 1 coed session)

Please complete the form below for the following camps: 

Coach Edwards Baseball

Coach Krause Football
Coach Mayer Basketball
Coach Wray Softball

Coach Winkler's Volleyball

***One form must be filled out per child, per camp***

Registration Form

Required

Which camp are you interested in?required
Camper's Namerequired
First Name
Last Name
Confirm Coach Mayer's Basketball Camp sessionrequired
Confirm Coach Winkler's Volleyball Camp sessionrequired
Confirm Coach Winkler's Volleyball Camp sessionrequired
Confirm Coach Edward's Baseball Camp sessionrequired
Confirm Wray's Softball Camp sessionrequired
Confirm Krause's Football Camp sessionrequired
T-Shirt Sizerequired
T-Shirt Sizerequired

Coach Wray's Softball

The undersigned parent, guardian, or legal representative, hereby requests that my child be allowed to participate in Coach Wray’s Softball Camp and all of its associated activities. For and in consideration of the child being allowed to participate in this camp, and other valuable considerations, the undersigned parent, guardian, or legal representative on behalf of the child and the child's parents, personal representatives, assigns, heirs, and next of kin, do hereby release and hold harmless the Bishop Kenny High School, Inc.; Felipe J. Estévez, as Bishop of the Diocese of St. Augustine, a corporation sole; Coach Wray’s Softball Camp; all organizers of this camp; all volunteers, chaperones, employees, and agents of the said parties; and their personal representatives or assigns from any loss or damage on account of any injury to the person or the personal property of the child, or death, caused by negligence or otherwise, while the said child is engaged in the above- stated camp and any of the activities of the camp. The undersigned expressly agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida and that if any portion of this agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. The undersigned parent, guardian, or legal representative further acknowledges that he/she is authorized to enter this agreement on behalf of the child, the child's parents, personal representatives, assigns, heirs, and next of kin. I further authorize any representative of this camp to obtain medical treatment for my child in the unlikely event of an injury or illness during this program, and I agree to pay any expenses incurred for such treatment.

**Electronic Signature: The electronic signatures below and their related fields are treated as a physical handwritten signature on a paper form.

Coach Winkler's Volleyball

Waiver and Release of Liability

The undersigned parent, guardian, or legal representative, hereby requests that my child be allowed to participate in Winks Volleyball Beach Training and all of its associated activities. For and in consideration of the child being allowed to participate in this camp, and other valuable consideration, the undersigned parent, guardian, or legal representative on behalf of the child and the child's parents, personal representatives, assigns, heirs, and next of kin, do hereby release and hold harmless the Bishop Kenny High School, Inc.; Felipe J. Estévez, as Bishop of the Diocese of St. Augustine, a corporation sole; Winks Volleyball Club LLC; all organizers of this camp; all volunteers, chaperones, employees, and agents of the said parties; and their personal representatives or assigns from any loss or damage on account of any injury to the person or the personal property of the child, or death, caused by negligence or otherwise, while the said child is engaged in the above-stated camp and any of the activities of the camp. The undersigned expressly agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida and that if any portion of this agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. The undersigned parent, guardian, or legal representative further acknowledges that he/she is authorized to enter this agreement on behalf of the child, the child's parents, personal representatives, assigns, heirs, and next of kin. I further authorize any representative of this camp to obtain medical treatment for my child in the unlikely event of an injury or illness during this program, and I agree to pay any expenses incurred for such treatment. Winks Volleyball Club LLC is not affiliated or associated with Bishop Kenny High School, Inc.

Photo Release Consent

By entering my own first and last name below indicates my acceptance of all terms as stated:

I give permission and consent for my child to allow photographs be taken of him/her during the session and activities at Winks Volleyball Club, LLC. I further give permission and consent that any such photographs may be published and used by WINKS Volleyball Club, LLC, to illustrate and promote the experience, and our programs. By entering my child's name and my name below indicates my acceptance of all terms as stated.  You are authorizing WINKS Volleyball Club, LLC to use, without obligation, photos or videos of your child for any and all publicity , publications, and advertising purposes that WINKS Volleyball Club, LLC may designate.

**Electronic Signature: The electronic signatures below and their related fields are treated like a physical handwritten signature on a paper form.

 

 

Coach Mayer's First Coast Girls' Basketball 

The undersigned parent, guardian, or legal representative, hereby requests that my child be allowed to participate in the FCBA Basketball camp and all of its associated activities. For and in consideration of the child being allowed to participate in this camp, and other valuable considerations, the undersigned parent, guardian, or legal representative on behalf of the child and the child’s parents, personal representatives, assigns, heirs, and next of kin, do hereby release and hold harmless the Bishop Kenny High School Inc, Felipe J. Estevez, as Bishop of the Diocese of St. Augustine, a corporation sole; FCBA Basketball Camp; all organizers of this camp; all volunteers, chaperones, employees, and agents of the said parties; and their personal representatives or assigns from any loss or damage on account of any injury to the person or personal property of the child, or death, caused by negligence or otherwise, while the said child is engaged in the above stated camp and any of the activities of the camp. The undersigned expressly agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida and that if any portion of this agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. The undersigned parent, guardian, or legal representative further acknowledges that he/she is authorized to enter this agreement on behalf of their child, the child’s parents, personal representatives, assigns, heirs, and next of kin. I further authorize any representative of this camp to obtain medical treatment for my child in the unlikely event of an injury or illness during this program, and I agree to pay any expenses for such treatment. 

**Electronic Signature: The electronic signatures below and their related fields are treated as a physical handwritten signature on a paper form.

Coach Edwards' Baseball 

The undersigned parent, guardian, or legal representative, hereby requests that my child be allowed to participate in Tommy Edwards’ Baseball Camp and all of its associated activities. For and in consideration of the child being allowed to participate in this camp, and other valuable considerations, the undersigned parent, guardian, or legal representative on behalf of the child and the child's parents, personal representatives, assigns, heirs, and next of kin, do hereby release and hold harmless the Bishop Kenny High School, Inc.; Felipe J. Estévez, as Bishop of the Diocese of St. Augustine, a corporation sole; Tommy Edwards’ Baseball Camp; all organizers of this camp; all volunteers, chaperones, employees, and agents of the said parties; and their personal representatives or assigns from any loss or damage on account of any injury to the person or the personal property of the child, or death, caused by negligence or otherwise, while the said child is engaged in the above-stated camp and any of the activities of the camp. The undersigned expressly agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida and that if any portion of this agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. The undersigned parent, guardian, or legal representative further acknowledges that he/she is authorized to enter this agreement on behalf of the child, the child's parents, personal representatives, assigns, heirs, and next of kin. I further authorize any representative of this camp to obtain medical treatment for my child in the unlikely event of an injury or illness during this program, and I agree to pay any expenses incurred for such treatment. Tommy Edwards’ Baseball Camp is not affiliated or associated with Bishop Kenny High School, Inc.

**Electronic Signature: The electronic signatures below and their related fields are treated as a physical handwritten signature on a paper form.

Coach Krause's Football 

The undersigned parent, guardian, or legal representative, hereby requests that my child be allowed to participate in Coach Krause Football Camp and all of its associated activities. For and in consideration of the child being allowed to participate in this camp, and other valuable considerations, the undersigned parent, guardian, or legal representative on behalf of the child and the child's parents, personal representatives, assigns, heirs, and next of kin, do hereby release and hold harmless the Diocese of St. Augustine, a corporation sole; Coach Krause Football Camp; all organizers of this camp; all volunteers, chaperones, employees, and agents of the said parties; and their personal representatives or assigns from any loss or damage on account of any injury to the person or the personal property of the child, or death, caused by negligence or otherwise, while the said child is engaged in the above-stated camp and any of the activities of the camp. The undersigned expressly agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida and that if any portion of this agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. The undersigned parent, guardian, or legal representative further acknowledges that he/she is authorized to enter this agreement on behalf of the child, the child's parents, personal representatives, assigns, heirs, and next of kin. I further authorize any representative of this camp to obtain medical treatment for my child in the unlikely event of an injury or illness during this program, and I agree to pay any expenses incurred for such treatment. Coach Krause Football Camp is not affiliated or associated with Bishop Kenny High School, Inc.

**Electronic Signature: The electronic signatures below and their related fields are treated as a physical handwritten signature on a paper form.

Please type your name if you agree to the consent form above.
Please type your name if you agree to the consent form above.
*Players should bring their baseball glove and hat. Please label all items with camper's name (bat, glove, hat, etc.).  Drinks and snacks are available for purchase.
Payment OptionrequiredPlease select up to 1 choice
Please select up to 1 choice
Payment Details:
 
Please indicate camper's name with your payment.
 
 
Check payable to: Tommy Edwards
 
Mail  to:
7233 Holiday Road So.
Jacksonville, Florida 32216
 
*Payment due at time of registration

 

Payment Details:
 
Please indicate camper's name with your payment.
 
Venmo: @Bronwen-Krause
 

Check payable  to:
Coach Krause Football Camps LLC

Mail to:
Coach Krause Football Camps LLC
213 Glenwood Street
Ponte Vedra, Florida 32081

*Payment due at the time of registration

Payment Details:

Please indicate camper's name with your payment.

Venmo- @lswray

Check payable to: Laurie Wray 

Please mail to:
Bishop Kenny High School
Attn: Laurie Wray
1055 Kingman Avenue
Jacksonville, Florida 32207

*Payment due at time of registration

 

Payment Details:

Please indicate camper's name with your payment.

Venmo - @Will-Mayer-10

Cash or check, payable to:
FIRST COAST BASKETBALL ACADEMY

Mail to:
FIRST COAST BASKETBALL ACADEMY
c/o Coach Will Mayer
300 Odom’s Mill Blvd
Ponte Vedra, FL 32082

*Payment due at the time of registration

Payment Details:

Please indicate camper's name with your payment. 

If you choose to pay via Venmo:  Please send friend request with Campers name and Camp Session.   **This will not be the sale of a good or service.

You may also pay by cash or check

Venmo - @Suzanne-Winkler-4

Cash or check, payable to: Wink's Volleyball Club

Mail to: 7408 Trails End, Jacksonville, FL 32277
 

*Payment due at the time of registration