Ages: 6 -14 year olds (40 inch minimum height)

Discounts• $50 off for UK employees• 2nd child discount- $50 off, 3rd child $75 off, 4th child $100 off• Sign up for both sessions and save $100

Registration1. You MUST submit a copy of the front and back of all health in-surance cards covering participant “With Registration”2. Medical Form3. Signed Parental ConsentYou will not be able to pay by credit card at check-in. ONLY CHECKS OR CASH.

To pay by credit card or electronic check you must register online at www.ukathletics.com.

Contact InfoMargo Greeman, Director of Ops859-257-8915 or margolynch@uky.eduor for more info: www.ukathletics.com/camps

If you choose to pay by check or money order, complete application form and send along with payment to:

2014 Kentucky Splash CampAccounting Office 338 Lexington Ave. Lexington, Ky. 40506-0604

Make checks payable to: Kentucky Splash Camp

Two water sessions each day. 1st session is instructional (grouped by skill level), 2nd is FUN…Games, diving boards, inflatables, races, obstacle courses, water skits, etc.!

Staffed by UK Coaches & student athletes.

Free lunch, t-shirt and water bottle to all participants.

SESSION I - JUNE 16-20 SESSION II - JUNE 23-27Daily 7:45 am to 5:15 pm • $450

You will not be able to pay by credit card at check-in. ONLY CHECKS OR CASH.

NCAA rules prohibit payment of camp expenses (camp tuition, transportation, spending money, etc.) for campers by University of Kentucky boosters. NCAA rules also prohibit free or reduced camp admissions for prospects (9th grade or above). If you have any questions, notify camp officials prior to attending camp.

The University of Kentucky’s camps and clinics are open to any and all entrants (limited only by number, age, grade level and/or gender).

For campers to stay overnight at any UK Athletics Camp, the camper must be at least 12 years of age at the start of the camp.

Disabilities accommodated with advanced (4-6 weeks) notification.

APPLICATIONTo be completed by parent or guardian, type or print in ink only. Fill in all sections. This form may be copied for additional applications.

Session I (June 16-20): m $450 Session II (June 23-27): m $450

All confirmations will be sent by email, unless otherwise requested.

Parents Email for Confirmation (Please Print) ______________________________________________________________________________________________

Campers Last Name ___________________________________ Campers First Name ___________________________________ Campers Middle Initial _______

Home Address ____________________________________________________________________________________________________________________

City, State ________________________________________________________________________________________ Zip Code _______________________

Contact Phone #(s) _________________________________________________________________________________________________________________

Date of Birth _____________________________________________________ Age at Camp _______________ Graduation Year _______________________

Name of High School _______________________________________________________________________________________________________________

T-shirt size (check one): m Youth S m Youth M m Youth L m Youth XL m Adult S m Adult M m Adult L m Adult XL

MEDICAL INFORMATION AND REQUIREMENTSThe University of Kentucky requires: 1. a signed Parental Consent Statement (see back of application);

2. proof of a physical, dated within one year of camp. (The physical may be mailed separately from the application or presented to the camp trainer at check-in.) Physician’s Statement is acceptable in lieu of a physical, and;

3. a copy of the front and back of camper’s health insurance card.

Parent/Guardian Signature ___________________________________________________________________________________________________________

If you choose to pay by check or money order, send payment to:

2014 Kentucky Splash CampAccounting Office • 338 Lexington Ave. • Lexington, Ky. 40506-0604

Make checks payable to: Kentucky Splash Camp

Or register online at:UKathletics.com/camps

To pay by credit card or electronic check you must register online at www.ukathletics.com.

2014 KENTUCKY SPLASH CAMP