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Page 1: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

choctawnation.comchoctawnationculture.com

Page 2: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

For more information call theSummer Youth Camp Program

Kevin Gwin, Javen Henson, Max White,Curtis Steve, Sam Steve or Malinda Steve at

1-800-522-6170

The Choctaw Nation of Oklahoma Youth Events Department will be hosting new athletic events throughout the year, known as the

Futures Showcase Series.

If you are a competitive high school athlete looking to work with regional college coaches at a high level, keep an eye out for a

showcase in your sport.

Information can be found at choctawnation.com or you may contact Javen Henson at [email protected] with any questions.

Page 3: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

CULTURAL EVENTS & SUMMER CAMPS

C O N T A C T L I S TName Cell Number Office Number

Kevin Gwin 580-775-3982 580-924-8280 ext. 2517

Javen Henson 580-775-4075 580-924-8280 ext. 2739

Curtis Steve 580-775-2005 580-924-8280 ext. 2332

Max White 580-924-8280

Malinda Steve 580-924-8280 ext. 2740

Sam Steve 580-924-8280 ext. 2741

* Once camps start, please call cell phone numbers to contact employees.

Online registration is available at www.choctawsummercamps.com only if your child

has attended camps in previous years and has a CDIB & membership card on file.

New applicants MUST send copies of theirChoctaw Membership Card & CDIB.

PLEASE CONTACT US WITHANY QUESTIONS.

Page 4: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

All first time applicants must include a copy of theChild’s CHOCTAW CDIB and MEMBERSHIP CARD.

Applications will not be accepted without these documents.

*All participants must have a Choctaw CDIB & Membership Card or be a child of an employee of Choctaw Nation to attend.

DEADLINES FOR EACH CAMPARE AS FOLLOWS:

Golf CampFriday, March 24th

Baseball, Softball, Wildlife Conservation,Stickball,Cultural Enrichment,Basketball, & Football Camp

Friday, April 14th

This will allow us to get our suppliesand equipment in time for each camp!

Page 5: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

The camp is open to female students ONLY ages 8 to 18.

This year the camp will be conducted by college coaches and players from local colleges.

Students will be instructed in areas of hitting, pitching, and fielding. Emphasis will be placed on giving each camper the proper instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting goals and self-discipline will not only help their playing ability, but will help them in their everyday lives off the field.

This is a day camp, splitting the north and south districts of the Choctaw Nation. Lunch and drinks will be provided for each day of camp.

Participants will be offered bus transportation on designated bus routes.

S O F T B A L L

South CampTuskahoma, OK(Districts 1, 2, 7, 8, 9, 10)June 12 - 13, 20179:00 am - 3:00 pm

North Camp Tuskahoma , OK(Districts 3, 4, 5, 6, 11, 12)June 15 - 16, 20179:00 am - 3:00 pm

G O L F

South CampChickasaw Pointe, Kingston, OK(Districts 1, 2, 7, 8, 9, 10)June 5 - 6, 2017 • 9:00 am - 3:00 pm

North Camp Arrowhead, Canadian, OK(Districts 3, 4, 5, 6, 11, 12)June 8 - 9, 2017 • 9:00 am - 3:00 pm

The camp is open to all students ages 10 to 18.

This year the camps will be held at two different courses, splitting the north and south districts of the Choctaw Nation. The north camp will be held at Arrowhead Golf Course in Canadian on June 6th & 7th and the south camp will be held at Chickasaw Pointe in Kingston on June 9th & 10th.

The camps will be instructed by ESPN Golf Schools Director of Instruction, Ed Bowe. The staff and instructors are motivated to teach each participant whether it be a first time golfer or an advanced golfer.

Food and drinks will be provided while at camp. There will be a tournament held for the advanced golfers.

Participants will be offered bus transportation on designated bus routes. This will NOT be an overnight camp.

S T I C K B A L LThe camp is open to all students ages 8 to 18.

Stickball has always been an exciting and competitive game played by many tribal people of the Southeast and has always been an important game to the Choctaws.

Students will be taught the fundamentals of stickball by teaching the history behind the game and how it is important to Choctaw culture. The youth will be taught how to throw, catch, and score a goal in the Choctaw style. Social and exhibition types of play will be taught as well as the rules and field positions for each.

Instruction will be done by Coaches from the Choctaw Nation Stickball team with assistance from skilled local players. This is a day camp on the grounds of Tuskahoma. All campers will receive lunch and drinks each day of the camp.

Participants will be offered bus transportation on designated bus routes.

North CampTuskahoma, OK(Districts 3, 4, 5, 6, 11, 12)June 1 - 2, 2017 • 9:00 am - 3:00 pm

South CampTuskahoma, OK(Districts 1,2, 7, 8, 9, 10)May 30 - 31, 2017 • 9:00 am - 3:00 pm

W I L D L I F E C O N S E R V A T I O NThe camp is open to all students ages 10 to 18.

Students will be instructed in a variety of topics including; firearm safety, wildlife identification, wildlife conservation, & hunter responsibility. Students will participate in a hunter education class, and they will be provided with the opportunity to take the hunter safety test. Upon passing the test, students will receive their hunter safety cards. Other activities will be available including; fishing ATV riding, and skeet shooting.

Instruction will be provided by trained wildlife experts.

Participants will be offered bus transportation on designated bus routes.

North CampTuskahoma, OK(Districts 3, 4, 5, 6, 11, 12)May 25 - 26, 2017 • 9:00 am - 3:00 pm

South CampTuskahoma, OK(Districts 1,2, 7, 8, 9, 10)May 22 - 23, 2017 • 9:00 am - 3:00 pm

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The camp is open to male students only ages 8 to 18.

The camp will be conducted by Day of Champions football staff and former Big XII players and former NFL coaches. Campers will receive instruction in areas of offensive drills, defensive drills, and Sooner ball.

Lunches and drinks will be provided. This is a 2-day camp on the grounds at Tuskahoma.

Participants will be offered bus transportation on designated bus routes.

9:00 am - 3:00 pm • All Districts • June 28 - 29, 2017 • Tuskahoma , OK

F O O T B A L L

The camp is open to male students ONLY ages 8 to 18.

The camp will be instructed by college and high school coaches from Southeastern Oklahoma.

Students will be instructed in the areas of hitting, pitching, and fielding. Emphasis will be placed on giving each camper the proper instruction that will help improve their level of play and decrease their potential for injury.

This is a day camp, splitting the north and south districts of the Choctaw Nation. All campers will receive lunch and drinks each day of the camp.

Participants will be offered bus transportation on designated bus routes.

B A S E B A L L

B A S K E T B A L LThe camp is open to all students ages 8 to 18.

Learn fundamental skills of basketball to use throughout the school career with the ultimate goal of playing college level basketball.

Picking up tips from high school head coaches and former university players, this is a day camp at 12 sites. Participants will be pro-vided with lunch and drinks. No bus transportation will be offered for this camp.

9:00 am - 3:00 pm

North Camp Tuskahoma , OK(Districts 3, 4, 5, 6, 11, 12)June 22 - 23, 2017 • 9:00 am - 3:00 pm

South CampTuskahoma , OK(Districts 1, 2, 7, 8, 9, 10)June 19 - 20, 2017 • 9:00 am - 3:00 pm

South CampTuskahoma, OK(Districts 1, 2, 7, 8, 9, 10)July 31 - August 1, 2017 • 9:00 am - 3:00 pm

The camp is open to all students ages 8 to 18.

Join us for an exciting opportunity to learn more about Choctaw heritage and culture.

During this camp, the focus will be on archery, arts and crafts, storytelling and Choctaw language.

This will be a day camp on the grounds at Tuskahoma from 9:00 am to 3:00 pm.

Camp 1 will be held May 31 - June 1 for the South Districts 1, 2, 7, 8, 9, 10. Camp 2 will be held June 2 - 3 for the North Districts 3, 4, 5, 6, 11, 12. Lunches and drinks will be provided each day of camp.

Participants will be offered bus transportation on designated bus routes.

This will NOT be an overnight camp.

C U L T U R A L E N R I C H M E N T

North Camp Tuskahoma, OK(Districts 3, 4, 5, 6, 11, 12)August 2 - 3, 2017 • 9:00 am - 3:00 pm

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Choctaw Nation of Oklahoma

WILDLIFE CONSERVATION CAMP

DEADLINE FOR APPLICATION IS APRIL 14, 2017

TUSKAHOMA COUNCIL GROUNDS

SOUTH CAMPDISTRICTS 1, 2, 7, 8, 9, 10

TUSKAHOMA

May 22 - 23

9:00 am - 3:00 pm

NORTH CAMPDISTRICTS 3, 4, 5, 6, 11, 12

TUSKAHOMA

May 25 - 26

9:00 am - 3:00 pm

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WILDLIFE CONSERVATION CAMPBUS SCHEDULE

All Times Are Approximate Times.

Please have the camper at the pick-up location at least 15 minutes prior to departure time.Also, please arrive 15 minutes prior to the returning time to pick-up the camper.

SOUTH CAMPDistricts 1, 2, 7, 8, 9, 10

May 22 - 23

Departing ReturningBUS 1

Rock Creek High School 6:45 A.M. 5:25 P.M.

Bennington High School 6:55 A.M. 5:15 P.M.

Boswell High School 7:10 A.M. 5:00 P.M.

Soper High School 7:25 A.M. 4:45 P.M.

Antlers Field Office 7:55 A.M. 4:15 P.M.

BUS 2

Idabel Field Office 6:45 A.M. 5:35 P.M.

Valliant (Doc Store) 7:10 A.M. 5:10 P.M.

Fort Towson High School 7:30 A.M. 4:50 P.M.

Hugo Community Center 7:45 A.M. 4:35 P.M.

BUS 3

Broken Bow Field Office 7:00 A.M. 5:45 P.M.

Wright City Field Office 7:30 A.M. 5:15 P.M.

BUS 4

Durant Headquarters 6:45 A.M. 5:40 P.M.

Caddo Dairy Queen 7:05 A.M. 5:20 P.M.

Atoka Travel Plaza 7:30 A.M. 4:55 P.M.

Stringtown Travel Plaza 8:00 A.M. 4:45 P.M.

NORTH CAMPDistricts 3, 4, 5, 6, 11, 12

May 25 - 26

Departing ReturningBUS 1

Smithville Field Office 7:30 A.M. 5:00 P.M.

Talihina Field Office 8:30 A.M. 4:00 P.M.

BUS 2

Stigler Field Office 6:45 A.M. 5:50 P.M.

Spiro Field Office 7:30 A.M. 5:05 P.M.

Poteau Field Office 8:00 A.M. 4:35 P.M.

BUS 3

Coalgate Field Office 6:45 A.M. 5:45 P.M.

McAlester Field Office 7:50 A.M. 4:40 P.M.

VAN

Wilburton Field Office 8:00 A.M. 4:20 P.M.

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WEAR APPROPRIATE SHOES.NO FLIP-FLOPS OR SANDALS

Office Info

_________________________

_________________________

Bus Rider: yes / no

Pick-up Location:_______________________________

See attached schedule

ATTACH COPY OF CHOCTAW MEMBERSHIP CARD AND CDIB

ALL CAMPERS MUST PARTICIPATE! PLEASE NOTIFY CAMP STAFF IF CHILD WILL BE PICKED UP EARLY.

Name: ______________________________________________________________________________Phone: ___________________________________

Address: _______________________________________________________City: ________________________ State: _________ Zip: _______________

Age:_________________Date of Birth:__________________________________ Male / Female

Circle T-Shirt Size: Youth (10 - 12) (14 - 16) ; Adult (Small) (Medium) (Large) (X-Large) (2X-Large) (3X-Large)

Have you attended any of our camps? Y N List the camp & how many years: ___________________________________________________

Do you have insurance? Y N List insurance information: _____________________________________________________________________

Emergency contact person & phone #: __________________________________________________________________________________________

Medical Information: __________________________________________________________________________________________________________

CONSENT: I authorize a representative of the Choctaw Nation Staff, Camp Director, and Instructor to seek medical treatment for my child, if I am not present, while participating in this camp. In consideration of the sponsors and facility owner accepting this application, I hereby release and waiver all rights to any claim for damages and/or injury my child may suffer while participating in this camp. I understand and agree that medical or other services rendered to my child by the camp sponsors/facility owner is not an admission of liability or continued services.

I do hereby release the Oklahoma Department of Wildlife, to the minor named herein, for the purpose of instruction and safe handling of firearms, target shooting and related activites.

PHOTO LIABILITY: In signing this registration form, I acknowledge and agree to allow the Choctaw Nation of Oklahoma the right to use, without compensation to me, my child’s likeness for advertising, promotional, or public purposes. I hereby release the Choctaw Nation of Oklahoma from any responsibility, liability or loss that I may incur as a result of using my child’slikeness, including, but not limited to, any right of privacy.

Signature of Parent / Guardian _______________________________________________ Date _________________________________

CAMP LISTINGSelect the camp you will be attending. Ages 10 - 18. Deadline: April 14, 2017

Please completeBus Rider Info!

South Camp - Tuskahoma, OK(Districts 1, 2, 7, 8, 9, 10)May 22 - 23, 2017Camp: 9:00 am - 3:00 pm

North Camp - Tuskahoma, OK(Districts 3, 4, 5, 6, 11, 12)May 25 - 26, 2017Camp: 9:00 am - 3:00 pm

INSTRUCTIONS:Complete Application and Sign.

Mail to: Choctaw Summer Camp • c/o Kevin Gwin • PO Box 1210 • Durant, OK 747011-800-522-6170 • Fax: 580-920-9046

Choctaw Nation of OklahomaWILDLIFE

CONSERVATION CAMPDeadline: April 14, 2017

Page 10: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of OklahomaAttention: Cultural Events-Summer CampsP.O. Box 1210Durant, Oklahoma 74702

PLACE

STAMP

HERE

Page 11: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of Oklahoma

STICKBALL CAMPDEADLINE FOR APPLICATION IS APRIL 14, 2017

TUSKAHOMA COUNCIL GROUNDS

SOUTH CAMPDISTRICTS 1, 2, 7, 8, 9, 10

TUSKAHOMA

May 30 - 31

9:00 am - 3:00 pm

NORTH CAMPDISTRICTS 3, 4, 5, 6, 11, 12

TUSKAHOMA

June 1 - 2

9:00 am - 3:00 pm

Page 12: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

STICKBALL CAMPBUS SCHEDULE

All Times Are Approximate Times.

Please have the camper at the pick-up location at least 15 minutes prior to departure time.Also, please arrive 15 minutes prior to the returning time to pick-up the camper.

SOUTH CAMPDistricts 1, 2, 7, 8, 9, 10

May 30 - 31

Departing ReturningBUS 1

Rock Creek High School 6:45 A.M. 5:25 P.M.

Bennington High School 6:55 A.M. 5:15 P.M.

Boswell High School 7:10 A.M. 5:00 P.M.

Soper High School 7:25 A.M. 4:45 P.M.

Antlers Field Office 7:55 A.M. 4:15 P.M.

BUS 2

Idabel Field Office 6:45 A.M. 5:35 P.M.

Valliant (Doc Store) 7:10 A.M. 5:10 P.M.

Fort Towson High School 7:30 A.M. 4:50 P.M.

Hugo Community Center 7:45 A.M. 4:35 P.M.

BUS 3

Broken Bow Field Office 7:00 A.M. 5:45 P.M.

Wright City Field Office 7:30 A.M. 5:15 P.M.

BUS 4

Durant Headquarters 6:45 A.M. 5:40 P.M.

Caddo Dairy Queen 7:05 A.M. 5:20 P.M.

Atoka Travel Plaza 7:30 A.M. 4:55 P.M.

Stringtown Travel Plaza 8:00 A.M. 4:45 P.M.

NORTH CAMPDistricts 3, 4, 5, 6, 11, 12

June 1 - June 2

Departing ReturningBUS 1

Smithville Field Office 7:30 A.M. 5:00 P.M.

Talihina Field Office 8:30 A.M. 4:00 P.M.

BUS 2

Stigler Field Office 6:45 A.M. 5:50 P.M.

Spiro Field Office 7:30 A.M. 5:05 P.M.

Poteau Field Office 8:00 A.M. 4:35 P.M.

BUS 3

Coalgate Field Office 6:45 A.M. 5:45 P.M.

McAlester Field Office 7:50 A.M. 4:40 P.M.

VAN

Wilburton Field Office 8:00 A.M. 4:20 P.M.

Page 13: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

WEAR APPROPRIATE SHOES.NO FLIP-FLOPS OR SANDALS

Office Info

_________________________

_________________________

Bus Rider: yes / no

Pick-up Location:_______________________________

See attached schedule

ATTACH COPY OF CHOCTAW MEMBERSHIP CARD AND CDIB

ALL CAMPERS MUST PARTICIPATE! PLEASE NOTIFY CAMP STAFF IF CHILD WILL BE PICKED UP EARLY.

CAMP LISTINGSelect the camp you will be attending. Ages 8 - 18. Deadline: April 14, 2017

Please completeBus Rider Info!

South Camp - Tuskahoma, OK(Districts 1, 2, 7, 8, 9, 10)May 30 - 31, 2017Camp: 9:00 am - 3:00 pm

North Camp - Tuskahoma, OK(Districts 3, 4, 5, 6, 11, 12)June 1 - 2, 2017Camp: 9:00 am - 3:00 pm

INSTRUCTIONS:Complete Application and Sign.

Mail to: Choctaw Summer Camp • c/o Kevin Gwin • PO Box 1210 • Durant, OK 747011-800-522-6170 • Fax: 580-920-9046

Choctaw Nation of Oklahoma

STICKBALL CAMPDeadline: April 14, 2017

Name: ______________________________________________________________________________Phone: ___________________________________

Address: _______________________________________________________City: ________________________ State: _________ Zip: _______________

Age:_________________Date of Birth:__________________________________ Male / Female

Circle T-Shirt Size: Youth (10 - 12) (14 - 16) ; Adult (Small) (Medium) (Large) (X-Large) (2X-Large) (3X-Large)

Sticks (Circle One) Throws: Right Left

Have you attended any of our camps? Y N List the camp & how many years: ___________________________________________________

Do you have insurance? Y N List insurance information: _____________________________________________________________________

Emergency contact person & phone #: __________________________________________________________________________________________

Medical Information: __________________________________________________________________________________________________________

CONSENT: I authorize a representative of the Choctaw Nation Staff, Camp Director, and Instructor to seek medical treatment for my child, if I am not present, while participating in this camp. In consideration of the sponsors and facility owner accepting this application, I hereby release and waiver all rights to any claim for damages and/or injury my child may suffer while participating in this camp. I understand and agree that medical or other services rendered to my child by the camp sponsors/facility owner is not an admission of liability or continued services.

PHOTO LIABILITY: In signing this registration form, I acknowledge and agree to allow the Choctaw Nation of Oklahoma the right to use, without compensation to me, my child’s likeness for advertising, promotional, or public purposes. I hereby release the Choctaw Nation of Oklahoma from any

responsibility, liability or loss that I may incur as a result of using my child’slikeness, including, but not limited to, any right of privacy.

Signature of Parent / Guardian _______________________________________________ Date _________________________________

Page 14: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of OklahomaAttention: Cultural Events-Summer CampsP.O. Box 1210Durant, Oklahoma 74702

PLACE

STAMP

HERE

Page 15: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of Oklahoma

GOLF CAMPAGES 10 - 18

SOUTH CAMP

Districts 1, 2, 7, 8, 9, 10

Chickasaw Pointe - Kingston, OK

Camp

June 5, 2017 9:00 am - 3:00 pm

June 6, 2017 9:00 am - 3:00 pm

DEADLINE FOR APPLICATION IS MARCH 24, 2017

AGES 10 - 18NORTH CAMP

Districts 3, 4, 5, 6, 11, 12

Arrowhead Golf Course - Canadian, OK

Camp

June 8, 2017 9:00 am - 3:00 pm

June 9, 2017 9:00 am - 3:00 pm

Page 16: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

GOLF CAMPBUS SCHEDULE

All Times Are Approximate Times.

Please have the camper at the pick-up location at least 15 minutes prior to departure time.Also, please arrive 15 minutes prior to the returning time to pick-up the camper.

SOUTH CAMPAges 10 - 18June 5 & 6

Chickasaw Pointe - Kingston, OK

Departing ReturningBUS 1

Antlers Field office 7:30 A.M. 4:45 P.M.

Soper High School 8:00 A.M. 4:15 P.M.

Boswell High School 8:15 A.M. 4:00 P.M.

Bennington High School 8:30 A.M. 3:45 P.M.

Rock Creek High School 8:40 A.M. 3:35 P.M.

BUS 2

Idabel Field Office 7:00 A.M. 5:15 P.M.

Valliant (Doc’s Store) 7:25 A.M. 4:50 P.M.

Fort Towson High School 7:45 A.M. 4:30 P.M.

Hugo Community Center 8:00 A.M. 4:15 P.M.

BUS 3

Broken Bow Field Office 7:00 A.M 5:45 P.M.

Wright City Field Office 7:30 A.M. 5:15 P.M.

BUS 4

Stringtown Travel Plaza 8:00 A.M. 4:10 P.M.

Atoka Field Office 8:15 A.M. 4:00 P.M.

Caddo Dairy Queen 8:30 A.M. 3:35 P.M.

Durant Headquarters 8:45 A.M. 3:20 P.M.

NORTH CAMPAges 10 - 18June 8 & 9

Arrowhead Golf Course - Canadian, OK

Departing Returning

BUS 1

Smithville Field Office 6:00 A.M. 6:35 P.M.

Talihina 7:00 A.M. 5:35 P.M.

Wilburton Field Office 8:00 A.M. 4:35 P.M.

BUS 2

Poteau Field Office 6:45 A.M. 5:30 P.M.

Spiro Field Office 7:15 A.M. 5:00 P.M.

Stigler Field Office 8:00 A.M. 4:15 P.M.

BUS 3

Coalgate Field Office 7:30 A.M. 4:35 P.M.

McAlester 8:30 A.M. 3:35 P.M.

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CAMP LISTING Select the camp you will be attending. Ages 10 - 18. Deadline: March 25, 2017

NO FLIP-FLOPSOR SANDALS

North Camp - Arrowhead, Canadian, OK(Districts 3, 4, 5, 6, 11, 12)June 8 & 9

9:00 am - 3:00 pm

South Camp - Chickasaw Pointe, Kingston, OK(Districts 1, 2, 7, 8, 9, 10)June 5 & 6

9:00 am - 3:00 pm

Office Info

_________________________

_________________________

Bus Rider: yes / no

Pick-up Location:_______________________________

See attached schedule

ATTACH COPY OF CHOCTAW MEMBERSHIP CARD AND CDIB

ALL CAMPERS MUST PARTICIPATE! PLEASE NOTIFY CAMP STAFF IF CHILD WILL BE PICKED UP EARLY.

Please completeBus Rider Info!

INSTRUCTIONS:Complete Application and Sign.

Mail to: Choctaw Summer Camp • c/o Kevin Gwin • PO Box 1210 • Durant, OK 747011-800-522-6170 • Fax: 580-920-9046

Choctaw Nation of Oklahoma

GOLF CAMPDeadline: March 24, 2017

NOT AN OVERNIGHT CAMP

Name: ______________________________________________________________________________Phone: ___________________________________

Address: _______________________________________________________City: ________________________ State: _________ Zip: _______________

Age:_________________Date of Birth:__________________________________ Male / Female

Circle T-Shirt Size: Youth (10 - 12) (14 - 16) ; Adult (Small) (Medium) (Large) (X-Large) (2X-Large) (3X-Large)

Golf Clubs (Circle One): Left Handed Right Handed (considering golf clubs) Do you have clubs? Y N*If camper received clubs at previous camps he/she must bring them to this camp. We will check master list from previous camps to see if they have been assigned clubs in past camps.

Have you attended any of our camps? Y N List the camp & how many years: ___________________________________________________

Do you have insurance? Y N List insurance information: _____________________________________________________________________

Emergency contact person & phone #: __________________________________________________________________________________________

Medical Information: __________________________________________________________________________________________________________

CONSENT: I authorize a representative of the Choctaw Nation Staff, Camp Director, and Instructor to seek medical treatment for my child, if I am not present, while participating in this camp. In consideration of the sponsors and facility owner accepting this application, I hereby release and waiver all rights to any claim for damages and/or injury my child may suffer while participating in this camp. I understand and agree that medical or other services rendered to my child by the camp sponsors/facility owner is not an admission of liability or continued services.

PHOTO LIABILITY: In signing this registration form, I acknowledge and agree to allow the Choctaw Nation of Oklahoma the right to use, without compensation to me, my child’s likeness for advertising, promotional, or public purposes. I hereby release the Choctaw Nation of Oklahoma from any

responsibility, liability or loss that I may incur as a result of using my child’slikeness, including, but not limited to, any right of privacy.

Signature of Parent / Guardian _______________________________________________ Date _________________________________

Page 18: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of OklahomaAttention: Cultural Events-Summer CampsP.O. Box 1210Durant, Oklahoma 74702

PLACE

STAMP

HERE

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Choctaw Nation of Oklahoma

SOFTBALL CAMP

SOUTH SOFTBALL CAMPDistricts 1, 2, 7, 8, 9, 10

TUSKAHOMA, OKJune 12 - 13

9:00 am - 3:00 pm

NORTH SOFTBALL CAMPDistricts 3, 4, 5, 6, 11, 12

TUSKAHOMA, OKJune 15 - 16

9:00 am -3:00 pm

DEADLINE FOR APPLICATION IS APRIL 14, 2017For Female Students Only

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All Times Are Approximate Times.

Please have the camper at the pick-up location at least 15 minutes prior to departure time.Also, please arrive 15 minutes prior to the returning time to pick-up the camper.

SOFTBALL CAMPBUS SCHEDULE

SOUTH CAMPDistricts 1, 2, 7, 8, 9, 10

TUSKAHOMA, OK

June 12 - 13

Departing ReturningBUS 1

Rock Creek High School 6:45 A.M. 5:25 P.M.

Bennington High School 6:55 A.M. 5:15 P.M.

Boswell High School 7:10 A.M. 5:00 P.M.

Soper High School 7:25 A.M. 4:45 P.M.

Antlers Field Office 7:55 A.M. 4:15 P.M.

BUS 2

Idabel Field Office 6:45 A.M. 5:35 P.M.

Valliant (Doc Store) 7:10 A.M. 5:10 P.M.

Fort Towson High School 7:30 A.M. 4:50 P.M.

Hugo Community Center 7:45 A.M. 4:35 P.M.

BUS 3

Broken Bow Field Office 7:00 A.M. 5:45 P.M.

Wright City Field Office 7:30 A.M. 5:15 P.M.

BUS 4

Durant Headquarters 6:45 A.M. 5:40 P.M.

Caddo Dairy Queen 7:05 A.M. 5:20 P.M.

Atoka Travel Plaza 7:30 A.M. 4:55 P.M.

Stringtown Travel Plaza 8:00 A.M. 4:45 P.M.

NORTH CAMPDistricts 3, 4, 5, 6, 11, 12

TUSKAHOMA, OK

June 15 - 16

Departing ReturningBUS 1

Smithville Field Office 7:30 A.M. 5:00 P.M.

Talihina Field Office 8:30 A.M. 4:00 P.M.

BUS 2

Stigler Field Office 6:45 A.M. 5:50 P.M.

Spiro Field Office 7:30 A.M. 5:05 P.M.

Poteau Field Office 8:00 A.M. 4:35 P.M.

BUS 3

Coalgate Field Office 6:45 A.M. 5:45 P.M.

McAlester Field Office 7:50 A.M. 4:40 P.M.

VAN

Wilburton Field Office 8:00 A.M. 4:20 P.M.

Page 21: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

South Camp - Tuskahoma, OK

(Districts 1, 2, 7, 8, 9, 10)

June 12 - 13, 2017

Camp: 9:00 am - 3:00 pm

CAMP LISTINGSelect the camp you will be attending. Ages 8 - 18. Deadline: April 14, 2017

North Camp - Tuskahoma, OK

(Districts 3, 4, 5, 6, 11, 12)

June 15 - 16, 2017

Camp: 9:00 am - 3:00 pm

WEAR APPROPRIATE SHOES.NO FLIP-FLOPS OR SANDALS

Please completeBus Rider Info!

Office Info

_________________________

_________________________

Bus Rider: yes / no

Pick-up Location:_______________________________

See attached schedule

ATTACH COPY OF CHOCTAW MEMBERSHIP CARD AND CDIB

ALL CAMPERS MUST PARTICIPATE! PLEASE NOTIFY CAMP STAFF IF CHILD WILL BE PICKED UP EARLY.

INSTRUCTIONS:Complete Application and Sign.

Mail to: Choctaw Summer Camp • c/o Kevin Gwin • PO Box 1210 • Durant, OK 747011-800-522-6170 • Fax: 580-920-9046

Choctaw Nation of Oklahoma

SOFTBALL CAMPDeadline: April 14, 2017

For Female Students Only

CONSENT: I authorize a representative of the Choctaw Nation Staff, Camp Director, and Instructor to seek medical treatment for my child, if I am not present, while participating in this camp. In consideration of the sponsors and facility owner accepting this application, I hereby release and waiver all rights to any claim for damages and/or injury my child may suffer while participating in this camp. I understand and agree that medical or other services rendered to my child by the camp sponsors/facility owner is not an admission of liability or continued services.

PHOTO LIABILITY: In signing this registration form, I acknowledge and agree to allow the Choctaw Nation of Oklahoma the right to use, without compensation to me, my child’s likeness for advertising, promotional, or public purposes. I hereby release the Choctaw Nation of Oklahoma from any

responsibility, liability or loss that I may incur as a result of using my child’slikeness, including, but not limited to, any right of privacy.

Signature of Parent / Guardian _______________________________________________ Date _________________________________

Name: ______________________________________________________________________________Phone: ___________________________________

Address: _______________________________________________________City: ________________________ State: _________ Zip: _______________

Age:_________________Date of Birth:__________________________________ Male / Female

Circle T-Shirt Size: Youth (10 - 12) (14 - 16) ; Adult (Small) (Medium) (Large) (X-Large) (2X-Large) (3X-Large)

Glove (Circle One) Throws: Left Handed Right HandedBring Glove to Camp.

Have you attended any of our camps? Y N List the camp & how many years: ___________________________________________________

Do you have insurance? Y N List insurance information: _____________________________________________________________________

Emergency contact person & phone #: __________________________________________________________________________________________

Medical Information: __________________________________________________________________________________________________________

Page 22: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of OklahomaAttention: Cultural Events-Summer CampsP.O. Box 1210Durant, Oklahoma 74702

PLACE

STAMP

HERE

Page 23: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of Oklahoma

BASEBALL CAMP

SOUTH BASEBALL CAMPDISTRICTS 1, 2, 7, 8, 9, 10

TUSKAHOMA, OKJune 19 - 20, 20179:00 am - 3:00 pm

NORTH BASEBALL CAMPDISTRICTS 3, 4, 5, 6, 11, 12

TUSKAHOMA, OKJune 22 - 23, 20179:00 am - 3:00 pm

DEADLINE FOR APPLICATION IS APRIL 14, 2017For Male Students Only

Page 24: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

BASEBALL CAMPBUS SCHEDULE

All Times Are Approximate Times.

Please have the camper at the pick-up location at least 15 minutes prior to departure time.Also, please arrive 15 minutes prior to the returning time to pick-up the camper.

SOUTH CAMPDistricts 1, 2, 7, 8, 9, 10

TUSKAHOMA, OK

June 19 - 20

Departing ReturningBUS 1

Rock Creek High School 6:45 A.M. 5:25 P.M.

Bennington High School 6:55 A.M. 5:15 P.M.

Boswell High School 7:10 A.M. 5:00 P.M.

Soper High School 7:25 A.M. 4:45 P.M.

Antlers Field Office 7:55 A.M. 4:15 P.M.

BUS 2

Idabel Field Office 6:45 A.M. 5:35 P.M.

Valliant (Doc Store) 7:10 A.M. 5:10 P.M.

Fort Towson High School 7:30 A.M. 4:50 P.M.

Hugo Community Center 7:45 A.M. 4:35 P.M.

BUS 3

Broken Bow Field Office 7:00 A.M. 5:45 P.M.

Wright City Field Office 7:30 A.M. 5:15 P.M.

BUS 4

Durant Headquarters 6:45 A.M. 5:40 P.M.

Caddo Dairy Queen 7:05 A.M. 5:20 P.M.

Atoka Travel Plaza 7:30 A.M. 4:55 P.M.

Stringtown Travel Plaza 8:00 A.M. 4:45 P.M.

NORTH CAMPDistricts 3, 4, 5, 6, 11, 12

TUSKAHOMA, OK

June 22 - 23

Departing ReturningBUS 1

Smithville Field Office 7:30 A.M. 5:00 P.M.

Talihina Field Office 8:30 A.M. 4:00 P.M.

BUS 2

Stigler Field Office 6:45 A.M. 5:50 P.M.

Spiro Field Office 7:30 A.M. 5:05 P.M.

Poteau Field Office 8:00 A.M. 4:35 P.M.

BUS 3

Coalgate Field Office 6:45 A.M. 5:45 P.M.

McAlester Field Office 7:50 A.M. 4:40 P.M.

VAN

Wilburton Field Office 8:00 A.M. 4:20 P.M.

Page 25: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

South Camp - Tuskahoma, OK

(Districts 1, 2, 7, 8, 9, 10)

June 19 - 20, 2017

Camp: 9:00 am - 3:00 pm

CAMP LISTINGSelect the camp you will be attending. Ages 8 - 18. Deadline: April 14, 2017

North Camp - Tuskahoma, OK

(Districts 3, 4, 5, 6, 11, 12)

June 22 - 23, 2017

Camp: 9:00 am - 3:00 pm

WEAR APPROPRIATE SHOES.NO FLIP-FLOPS OR SANDALS

Please completeBus Rider Info!

Office Info

_________________________

_________________________

Bus Rider: yes / no

Pick-up Location:_______________________________

See attached schedule

ATTACH COPY OF CHOCTAW MEMBERSHIP CARD AND CDIB

ALL CAMPERS MUST PARTICIPATE! PLEASE NOTIFY CAMP STAFF IF CHILD WILL BE PICKED UP EARLY.

INSTRUCTIONS:Complete Application and Sign.

Mail to: Choctaw Summer Camp • c/o Kevin Gwin • PO Box 1210 • Durant, OK 747011-800-522-6170 • Fax: 580-920-9046

Choctaw Nation of Oklahoma

BASEBALL CAMPDeadline: April 14, 2017

For Male Students Only

CONSENT: I authorize a representative of the Choctaw Nation Staff, Camp Director, and Instructor to seek medical treatment for my child, if I am not present, while participating in this camp. In consideration of the sponsors and facility owner accepting this application, I hereby release and waiver all rights to any claim for damages and/or injury my child may suffer while participating in this camp. I understand and agree that medical or other services rendered to my child by the camp sponsors/facility owner is not an admission of liability or continued services.

PHOTO LIABILITY: In signing this registration form, I acknowledge and agree to allow the Choctaw Nation of Oklahoma the right to use, without compensation to me, my child’s likeness for advertising, promotional, or public purposes. I hereby release the Choctaw Nation of Oklahoma from any

responsibility, liability or loss that I may incur as a result of using my child’slikeness, including, but not limited to, any right of privacy.

Signature of Parent / Guardian _______________________________________________ Date _________________________________

Name: ______________________________________________________________________________Phone: ___________________________________

Address: _______________________________________________________City: ________________________ State: _________ Zip: _______________

Age:_________________Date of Birth:__________________________________ Male / Female

Circle T-Shirt Size: Youth (10 - 12) (14 - 16) ; Adult (Small) (Medium) (Large) (X-Large) (2X-Large) (3X-Large)

Glove (Circle One) Throws: Left Handed Right HandedBring Glove to Camp.

Have you attended any of our camps? Y N List the camp & how many years: ___________________________________________________

Do you have insurance? Y N List insurance information: _____________________________________________________________________

Emergency contact person & phone #: __________________________________________________________________________________________

Medical Information: __________________________________________________________________________________________________________

Page 26: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of OklahomaAttention: Cultural Events-Summer CampsP.O. Box 1210Durant, Oklahoma 74702

PLACE

STAMP

HERE

Page 27: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of Oklahoma

FOOTBALL CAMP

ALL DISTRICTSTuskahoma, OK

June 28- 29, 2017Registration: 8:00 am - 9:00 am

Camp: 9:00 am - 3:00 pm

DEADLINE FOR APPLICATION IS APRIL 14, 2017For Male Students Only

Page 28: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

FOOTBALL CAMPBUS SCHEDULE

All Times Are Approximate Times.

Please have the camper at the pick-up location at least 15 minutes prior to departure time.Also, please arrive 15 minutes prior to the returning time to pick-up the camper.

ALL DISTRICTSJune 28- 29

Departing ReturningBUS 1

Rock Creek High School 6:45 A.M. 5:25 P.M.

Bennington High School 6:55 A.M. 5:15 P.M.

Boswell High School 7:10 A.M. 5:00 P.M.

Soper High School 7:25 A.M. 4:45 P.M.

Antlers Field Office 7:55 A.M. 4:15 P.M.

BUS 2

Idabel Field Office 6:45 A.M. 5:35 P.M.

Valliant (Doc Store) 7:10 A.M. 5:10 P.M.

Fort Towson High School 7:30 A.M. 4:50 P.M.

Hugo Community Center 7:45 A.M. 4:35 P.M.

BUS 3

Broken Bow Field Office 7:00 A.M. 5:45 P.M.

Wright City Field Office 7:30 A.M. 5:15 P.M.

BUS 4

Durant Headquarters 6:45 A.M. 5:40 P.M.

Caddo Dairy Queen 7:05 A.M. 5:20 P.M.

Atoka Travel Plaza 7:30 A.M. 4:55 P.M.

Stringtown Travel Plaza 8:00 A.M. 4:45 P.M.

Departing ReturningBUS 5

Smithville Field Office 7:30 A.M. 5:00 P.M.

Talihina Field Office 8:30 A.M. 4:00 P.M.

BUS 6

Stigler Field Office 6:45 A.M. 5:50 P.M.

Spiro Field Office 7:30 A.M. 5:05 P.M.

Poteau Field Office 8:00 A.M. 4:35 P.M.

BUS 7

Coalgate Field Office 6:45 A.M. 5:45 P.M.

McAlester Field Office 7:50 A.M. 4:40 P.M.

VAN

Wilburton Field Office 8:00 A.M. 4:20 P.M.

Page 29: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Tuskahoma GroundsJune 28 - 29, 2017 • Registration: 8:00 am - 9:00 am • Camp: 9:00 am - 3:00 pm

CAMP LISTINGALL DISTRICTS WILL ATTEND THE SAME CAMP. Ages 8 - 18. Deadline: April 14, 2017

CAMPER MUST WEAR APPROPRIATE SHOESNO FLIP-FLOPS OR SANDALS

CAMPER WILL NOT BE ALLOWED TO PLAY BAREFOOT THIS YEAR

Office Info

_________________________

_________________________

ATTACH COPY OF CHOCTAW MEMBERSHIP CARD AND CDIBALL CAMPERS MUST PARTICIPATE! PLEASE NOTIFY CAMP STAFF IF CHILD WILL BE PICKED UP EARLY.

Bus Rider: yes / no

Pick-up Location:_______________________________

See attached schedule

Please completeBus Rider Info!

For Male Students Only

INSTRUCTIONS:Complete Application and Sign.

Mail to: Choctaw Summer Camp • c/o Kevin Gwin • PO Box 1210 • Durant, OK 747011-800-522-6170 • Fax: 580-920-9046

Choctaw Nation of Oklahoma

FOOTBALL CAMPDeadline: April 14, 2017

CONSENT: I authorize a representative of the Choctaw Nation Staff, Camp Director, and Instructor to seek medical treatment for my child, if I am not present, while participating in this camp. In consideration of the sponsors and facility owner accepting this application, I hereby release and waiver all rights to any claim for damages and/or injury my child may suffer while participating in this camp. I understand and agree that medical or other services rendered to my child by the camp sponsors/facility owner is not an admission of liability or continued services.

PHOTO LIABILITY: In signing this registration form, I acknowledge and agree to allow the Choctaw Nation of Oklahoma the right to use, without compensation to me, my child’s likeness for advertising, promotional, or public purposes. I hereby release the Choctaw Nation of Oklahoma from any

responsibility, liability or loss that I may incur as a result of using my child’slikeness, including, but not limited to, any right of privacy.

Signature of Parent / Guardian _______________________________________________ Date _________________________________

Name: ______________________________________________________________________________Phone: ___________________________________

Address: _______________________________________________________City: ________________________ State: _________ Zip: _______________

Age:_________________Date of Birth:__________________________________ Male / Female

Circle T-Shirt Size: Youth (10 - 12) (14 - 16) ; Adult (Small) (Medium) (Large) (X-Large) (2X-Large) (3X-Large)

Have you attended any of our camps? Y N List the camp & how many years: ___________________________________________________

Do you have insurance? Y N List insurance information: _____________________________________________________________________

Emergency contact person & phone #: __________________________________________________________________________________________

Medical Information: __________________________________________________________________________________________________________

Page 30: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of OklahomaAttention: Cultural Events-Summer CampsP.O. Box 1210Durant, Oklahoma 74702

PLACE

STAMP

HERE

Page 31: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of Oklahoma

BASKETBALL CAMPIDABEL or

BROKEN BOWJuly 6 - 7 • 9:00 am - 3:00 pm

SOSU orSOPER HIGH SCHOOL

July 10 - 11 • 9:00 am - 3:00 pm

COALGATE orTUSHKA HIGH SCHOOL

July 13 - 14 • 9:00 am - 3:00 pm

CARL ALBERT STATE COLLEGE orHEAVENER HIGH SCHOOL

July 17 - 18 • 9:00 am - 3:00 pm

RATTAN HIGH SCHOOL orTALIHINA HIGH SCHOOL

July 20 - 21 • 9:00 am - 3:00 pm

MCALESTER HIGH SCHOOL orWILBURTON HIGH SCHOOL

July 24 - 25 • 9:00 am - 3:00 pm

DEADLINE FOR APPLICATION IS APRIL 14, 2017

Page 32: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

NO BUSSING SCHEDULE

FOR BASKETBALL

Page 33: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

CAMP LISTINGSelect the camp you will be attending. Ages 8 - 18. Deadline: April 14, 2017

Registration: 8:00 am - 9:00 am

NO BUSSING SCHEDULE

JULY 10 - 11 • 9:00 AM - 3:00 PM

SOSU

Soper High School

JULY 17 - 18 • 9:00 AM - 3:00 PM

Carl Albert State College

Heavener High School

JULY 24 - 25 • 9:00 AM - 3:00 PM

McAlester High School

Wilburton High School

JULY 13 - 14 • 9:00 AM - 3:00 PM

Tushka High School

Coalgate High School

JULY 20 - 21 • 9:00 AM - 3:00 PM

Rattan High School

Talihina High School

JULY 6 - 7 • 9:00 AM - 3:00 PM

Idabel High School

Broken Bow Sports Complex

CAMPER MUST WEAR APPROPRIATE SHOESNO FLIP-FLOPS OR SANDALS

CAMPER WILL NOT BE ALLOWED TO PLAY BAREFOOT THIS YEAR

Office Info

_________________________

_________________________

ATTACH COPY OF CHOCTAW MEMBERSHIP CARD AND CDIB

ALL CAMPERS MUST PARTICIPATE! PLEASE NOTIFY CAMP STAFF IF CHILD WILL BE PICKED UP EARLY.

INSTRUCTIONS:Complete Application and Sign.

Mail to: Choctaw Summer Camp • c/o Kevin Gwin • PO Box 1210 • Durant, OK 747011-800-522-6170 • Fax: 580-920-9046

Choctaw Nation of Oklahoma

BASKETBALL CAMPDeadline: April 14, 2017

CONSENT: I authorize a representative of the Choctaw Nation Staff, Camp Director, and Instructor to seek medical treatment for my child, if I am not present, while participating in this camp. In consideration of the sponsors and facility owner accepting this application, I hereby release and waiver all rights to any claim for damages and/or injury my child may suffer while participating in this camp. I understand and agree that medical or other services rendered to my child by the camp sponsors/facility owner is not an admission of liability or continued services.

PHOTO LIABILITY: In signing this registration form, I acknowledge and agree to allow the Choctaw Nation of Oklahoma the right to use, without compensation to me, my child’s likeness for advertising, promotional, or public purposes. I hereby release the Choctaw Nation of Oklahoma from any

responsibility, liability or loss that I may incur as a result of using my child’slikeness, including, but not limited to, any right of privacy.

Signature of Parent / Guardian _______________________________________________ Date _________________________________

Name: ______________________________________________________________________________Phone: ___________________________________

Address: _______________________________________________________City: ________________________ State: _________ Zip: _______________

Age:_________________Date of Birth:__________________________________ Male / Female

Circle T-Shirt Size: Youth (10 - 12) (14 - 16) ; Adult (Small) (Medium) (Large) (X-Large) (2X-Large) (3X-Large)

Have you attended any of our camps? Y N List the camp & how many years: ___________________________________________________

Do you have insurance? Y N List insurance information: _____________________________________________________________________

Emergency contact person & phone #: __________________________________________________________________________________________

Medical Information: __________________________________________________________________________________________________________

Page 34: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of OklahomaAttention: Cultural Events-Summer CampsP.O. Box 1210Durant, Oklahoma 74702

PLACE

STAMP

HERE

Page 35: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of Oklahoma

CULTURALENRICHMENT CAMP

JULY 31 - AUGUST 1, 2017SOUTH CAMP

Ages 8 - 18(Districts 1, 2, 7, 8, 9, 10)

9:00 am - 3:00 pm

AUGUST 2 - 3, 2017NORTH CAMP

Ages 8 - 18(Districts 3, 4, 5, 6, 11, 12)

9:00 am - 3:00 pm

DEADLINE FOR APPLICATION IS APRIL 14, 2017TUSKAHOMA COUNCIL GROUNDS

NOT AN OVERNIGHT CAMP

Page 36: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

CULTURAL ENRICHMENT CAMPBUS SCHEDULE

All Times Are Approximate Times.

Please have the camper at the pick-up location at least 15 minutes prior to departure time.Also, please arrive 15 minutes prior to the returning time to pick-up the camper.

SOUTH CAMPDistricts 1, 2, 7, 8, 9, 10

TUSKAHOMA, OK

July 31 - August 1

Departing ReturningBUS 1

Rock Creek High School 6:45 A.M. 5:25 P.M.

Bennington High School 6:55 A.M. 5:15 P.M.

Boswell High School 7:10 A.M. 5:00 P.M.

Soper High School 7:25 A.M. 4:45 P.M.

Antlers Field Office 7:55 A.M. 4:15 P.M.

BUS 2

Idabel Field Office 6:45 A.M. 5:35 P.M.

Valliant (Doc Store) 7:10 A.M. 5:10 P.M.

Fort Towson High School 7:30 A.M. 4:50 P.M.

Hugo Community Center 7:45 A.M. 4:35 P.M.

BUS 3

Broken Bow Field Office 7:00 A.M. 5:45 P.M.

Wright City Field Office 7:30 A.M. 5:15 P.M.

BUS 4

Durant Headquarters 6:45 A.M. 5:40 P.M.

Caddo Dairy Queen 7:05 A.M. 5:20 P.M.

Atoka Travel Plaza 7:30 A.M. 4:55 P.M.

Stringtown Travel Plaza 8:00 A.M. 4:45 P.M.

NORTH CAMPDistricts 3, 4, 5, 6, 11, 12

TUSKAHOMA, OK

August 2 - 3

Departing ReturningBUS 1

Smithville Field Office 7:30 A.M. 5:00 P.M.

Talihina Field Office 8:30 A.M. 4:00 P.M.

BUS 2

Stigler Field Office 6:45 A.M. 5:50 P.M.

Spiro Field Office 7:30 A.M. 5:05 P.M.

Poteau Field Office 8:00 A.M. 4:35 P.M.

BUS 3

Coalgate Field Office 6:45 A.M. 5:45 P.M.

McAlester Field Office 7:50 A.M. 4:40 P.M.

VAN

Wilburton Field Office 8:00 A.M. 4:20 P.M.

Page 37: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Office Info

_________________________

_________________________

CAMP LISTINGSelect the camp you will be attending. Ages 8 - 18. Deadline: April 14, 2017

Bus Rider: yes / no

Pick-up Location:_______________________________

See attached schedule

South Camp - Ages 8 - 18

Tuskahoma Grounds

July 31 - August 1, 2017

Camp: 9:00 am - 3:00 pm

North Camp - Ages 8 - 18

Tuskahoma Grounds

August 2 - 3, 2017

Camp: 9:00 am - 3:00 pm

ATTACH COPY OF CHOCTAW MEMBERSHIP CARD AND CDIB

Please complete

Bus Rider Info!

ALL CAMPERS MUST PARTICIPATE! PLEASE NOTIFY CAMP STAFF IF CHILD WILL BE PICKED UP EARLY.

Choctaw Nation of Oklahoma

CULTURAL ENRICHMENT CAMPDeadline: April 14, 2017

INSTRUCTIONS:Complete Application and Sign.

Mail to: Choctaw Summer Camp • c/o Kevin Gwin • PO Box 1210 • Durant, OK 747011-800-522-6170 • Fax: 580-920-9046

NOT AN OVERNIGHT CAMP

CONSENT: I authorize a representative of the Choctaw Nation Staff, Camp Director, and Instructor to seek medical treatment for my child, if I am not present, while participating in this camp. In consideration of the sponsors and facility owner accepting this application, I hereby release and waiver all rights to any claim for damages and/or injury my child may suffer while participating in this camp. I understand and agree that medical or other services rendered to my child by the camp sponsors/facility owner is not an admission of liability or continued services.

PHOTO LIABILITY: In signing this registration form, I acknowledge and agree to allow the Choctaw Nation of Oklahoma the right to use, without compensation to me, my child’s likeness for advertising, promotional, or public purposes. I hereby release the Choctaw Nation of Oklahoma from any

responsibility, liability or loss that I may incur as a result of using my child’slikeness, including, but not limited to, any right of privacy.

Signature of Parent / Guardian _______________________________________________ Date _________________________________

Name: ______________________________________________________________________________Phone: ___________________________________

Address: _______________________________________________________City: ________________________ State: _________ Zip: _______________

Age:_________________Date of Birth:__________________________________ Male / Female

Circle T-Shirt Size: Youth (10 - 12) (14 - 16) ; Adult (Small) (Medium) (Large) (X-Large) (2X-Large) (3X-Large)

Have you attended any of our camps? Y N List the camp & how many years: ___________________________________________________

Do you have insurance? Y N List insurance information: _____________________________________________________________________

Emergency contact person & phone #: __________________________________________________________________________________________

Medical Information: __________________________________________________________________________________________________________

Page 38: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

Choctaw Nation of OklahomaAttention: Cultural Events-Summer CampsP.O. Box 1210Durant, Oklahoma 74702

PLACE

STAMP

HERE

Page 39: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting

See Ya At Camp!Registration Forms available online at

choctawnationculture.comor choctawnation.com

New applicants must send copy of CDIB &Choctaw Membership Cards

CHOCTAW NATION OF OKLAHOMATRIBAL DISTRICTS

Ti

Tom

Ury

Ord

Gay

Dow

Moon

Hoyt

Wade

Ulan

Star

Slim

Rufe

Lula

Lodi

Lane

Kent

Hugo

Goss

Dela

Cook

CobbCade

Burg

Blue

Adel

Weeks

Walls

Utica

Unger Swink

Speer

Soper

Sobol

Reams

Olney

Oleta

Mekko

Matoy

Krebs

Kiowa

Kinta

Jumbo

Grant

GowenFrink

Flora

Ethel

Drumb

Daisy

Citra

Caney

Cairo

Caddo

Bruno

Bluff

Banty

Bache

Atoka

Apple

Allen

Harris

Milton

Yanush

Wilson

Wesley

Wadena

Virgil

Tushka

Tupelo

Stuart

ShultsShoals

Scipio

Sawyer

Sardis

Redden

Rattan

Pirtle

Parker

Panola

Norris

Nelson

MoyersMiller

Messer

Mayhew

Lehigh

Kosoma

Jaydee

Idabel

Huskey

Hughes

Hamden

Halley

Golden

Glover

Garvin

Folsom

Finley

Felker

Farris

Durant

Dunbar

Duland

Divide

DenmanDegnan

Darwin

Counts

Cloudy

Carbon

Calvin

Calera

Brewer

Bowers

Blanco

Bengal

Atwood

Albion

Stigler

Hughart

Garland

Wasseta

Sunkist

Stanley

Roberta

Ringold

Redland

QuintonPanther

Lequire

Leflore

Kenefic

Kellond

Higgins

Haywood

Eubanks

Crystal

Crowder

Compton

Coleman

Clarita

Burwell

Boswell

Boehler

Blocker

Bentley

Belzoni

Ashland

Arpelar

Antlers

Allison

Alikchi

Goodlake

Eastport

Longtown

Canadian

Valliant

Talihina

ReynoldsPine Top

Phillips

Oak Hill

Kiamichi

Hopewell

Coalgate

Cabaniss

Bokchito

Shinewell

Goodwater

LafayetteIndianola

Wardville

Wapanucka

Tuskahoma

Pritchard

Pittsburg

Millerton

McCurtain

McAlester

Lone Pine

Lake West

High Hill

Greenwood

Frogville

Armstrong

Whitefield

Sams PointEnterprise

Stringtown

Rock Creek

North Pole

Negro Bend

Mount Zion

Hartshorne

Crossroads

Centrahoma

Bug Tussle

Bennington

Shady

Old Allison

Featherston

Thule

Ward Springs

Russellville

Farmers Hill

Pleasant Hill

Bristow Point

North McAlester

Bromide Junction

Pine Knot Crossing

Half Bank Crossing

Arkoma

Bashe

Cedars

Pocola

Jenson

Braden

Spiro

TuckerCowlington

WardCartersvilleKeota

Star

Bokoshe

Red Hill

Tamaha

PanamaTahona

Williams

Cameron

Hill

PointLathamDog Creek

NeffGilmorePoteau

MonroeYerby

Howe

HiawathaLoving

HeavenerPetros

HodgenConserReichert

Glendale

WisterVictor

Haw CreekZoe

Page Fogel

Big CedarMuse

LenoxWhitesboro

OctaviaZafra

BeachtonSmithville

WatsonPlunketvilleNani-chito

LudlowHonobia

Fewell

Nolia

Clebit Battiest

Bethel

SherwoodMount Herman

UltimaEagletownTiner

Smith - Lee

Clayton

Wilburton

Broken Bow

5

6

9

7

1112

1

10

8

4

2

3

McCurtain County

LeFlore County

Haskell County

Latimer County

Pushmataha County

Choctaw County

Bryan County

Atoka County

Pittsburg County

Hughes County

Coal County

Online registration is available at www.choctawsummercamps.com only if your child has

attended camps in previous years and has a CDIB & membership card on file.

Page 40: choctawnation.com choctawnationculture€¦ · instruction that will help improve their level of play and decrease their potential for injury. They will also be shown how setting