1st Annual Atlee Raiders Basketball Camp- 2018
Medical Release Form I certify that__________________________ is physically fit for playing basketball. Please list any allergies, special conditions, or special needs: ____________________________________ ____________________________________
Insurance Information Company: ___________________________ Policy Number: ______________________ Doctor’s Name: _______________________ Doctor’s Number: ____________________ Emergency Contact & Number: ____________________________________ ____________________________________ In the event my son/daughter suffers any accident requiring medical treatment, I hereby give permission for any medical treatment, which may be deemed necessary and reasonable under the circumstances. ____________________________________ Parent’s Signature
1st Annual Atlee Raiders Basketball Camp2018
Fill out both sides, then cut out and send to: Atlee Raiders Basketball Camp
Monday June 18th– Thursday June 21st From 8:30 a.m. to 1:00 p.m. Atlee Raiders Basketball Camp
9414 Atlee Station Road 23116 Phone: 804-723-2100 E-mail: [email protected]
Make sure you fill out both sides
Atlee 2018 Basketball Camp for Boys and Girls (No separate divisions)
2018 Atlee Camp Application Name -_________________________ Address _______________________________ _______________________________ Phone Number - _______________
Camp Information Ages of Campers: From 9 to 16 years old
Cost Cost of camp-$100.00 before May 20th, after May 18th cost is $125.00 A Non Refundable Deposit of $50.00 is required with all camp registration applications. The entire balance is due Monday, June 18th during registration. All checks need to be made out to: Atlee Basketball.
Gender - Male Female Hours of Camp Held at Atlee High School
E-mail - ______________________ Camper’s Age - __________
Camp is from 8:30 am to 1:00 pm
Entering Grade (Next Year 18-19) -__
Schedule
School - _______________________
Camp Features
8:00 Open Gym
Shirt Size (Circle One) Kids Medium
• Free Camp T-shirt and ball guaranteed for the first 50 sign-ups.
8:30 Camp Begins
Kids Large
Adult S
8:45 (Individual Skills)
Adult L
Adult XL
10:00 Break
Camp Application Payment: Price
10:15 Speakers
• We have had many girls participate in this camp, but there is no separate division set up for girls. The girls do participate with boys in all aspects of camp. • Camp snack bar open during breaks for snacks and drinks • 4 full courts 4 courts in air conditioning gym 2 courts outside • Complete lunches can be bought at camp store if camper decides not to bring one.
10:30 Individual Contest 11:15 Lunch Break 11:30 Camp Team Games 1:00 Camp Ends
Adult M Adult XXL
Camp Sign-Up before May 18th
$100.00 - ($50 deposit required then $50 on June 18th)
Camp Sign-Up after May 18th $125.00
- ($50 deposit required then $75 on June 18th)
Insurance Information Company: ___________________________ Policy Number: ______________________ Doctor’s Name: _______________________ Doctor’s Number: ____________________ Emergency Contact & Number: ____________________________________ ____________________________________ In the event my son/daughter suffers any accident requiring medical treatment, I hereby give permission for any medical treatment, which may be deemed necessary and reasonable under the circumstances. ____________________________________ Parent’s Signature
1st Annual Atlee Raiders Basketball Camp2018
Fill out both sides, then cut out and send to: Atlee Raiders Basketball Camp
Monday June 18th– Thursday June 21st From 8:30 a.m. to 1:00 p.m. Atlee Raiders Basketball Camp
9414 Atlee Station Road 23116 Phone: 804-723-2100 E-mail: [email protected]
Make sure you fill out both sides
Atlee 2018 Basketball Camp for Boys and Girls (No separate divisions)
2018 Atlee Camp Application Name -_________________________ Address _______________________________ _______________________________ Phone Number - _______________
Camp Information Ages of Campers: From 9 to 16 years old
Cost Cost of camp-$100.00 before May 20th, after May 18th cost is $125.00 A Non Refundable Deposit of $50.00 is required with all camp registration applications. The entire balance is due Monday, June 18th during registration. All checks need to be made out to: Atlee Basketball.
Gender - Male Female Hours of Camp Held at Atlee High School
E-mail - ______________________ Camper’s Age - __________
Camp is from 8:30 am to 1:00 pm
Entering Grade (Next Year 18-19) -__
Schedule
School - _______________________
Camp Features
8:00 Open Gym
Shirt Size (Circle One) Kids Medium
• Free Camp T-shirt and ball guaranteed for the first 50 sign-ups.
8:30 Camp Begins
Kids Large
Adult S
8:45 (Individual Skills)
Adult L
Adult XL
10:00 Break
Camp Application Payment: Price
10:15 Speakers
• We have had many girls participate in this camp, but there is no separate division set up for girls. The girls do participate with boys in all aspects of camp. • Camp snack bar open during breaks for snacks and drinks • 4 full courts 4 courts in air conditioning gym 2 courts outside • Complete lunches can be bought at camp store if camper decides not to bring one.
10:30 Individual Contest 11:15 Lunch Break 11:30 Camp Team Games 1:00 Camp Ends
Adult M Adult XXL
Camp Sign-Up before May 18th
$100.00 - ($50 deposit required then $50 on June 18th)
Camp Sign-Up after May 18th $125.00
- ($50 deposit required then $75 on June 18th)
