2015 shoremen basketball camps

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2015 SHOREMEN BASKETBALL CAMPS For boys entering grades 3 – 9 Grades 3 & 4 Monday, June 8th thru Thursday, June 11th at Avon Lake High School Time 9:00 – 10:30 Grades 5 & 6 Monday, June 8th thru Thursday, June 11th at Avon Lake High School Time 10:30 – 12:00 Grades 7, 8 & 9 Monday, June 8th thru Thursday, June 11th at Avon Lake High School Time 1:00 – 3:00 Each camper will receive a T-shirt and a Shoremen basketball. (In order to ensure that each camper receives a T-shirt, all Registration Forms must be received by May 29th.)  Please complete and return with payment to: Boys Basketball Camp Avon Lake City Schools Athletic Department 175 Avon Belden Road – Avon Lake, Ohio 44012 MAKE CHECK PAYABLE TO: ALCS ATHLETIC DEPARTMENT REGISTRATION FOR THE 2015 SHOREMEN BASKETBALL CAMPS CHECK ONE ( ) 3rd AND 4th GRADE CAMP – COST $45.00 ( ) 5th AND 6th GRADE CAMP – COST $45.00 ( ) 7th, 8th AND 9TH GRADE CAMP - COST $50.00 ( ) TAKE $5.00 OFF FOR EACH ADDITIONAL FAMILY MEMBER NAME______________________________________________________PHONE__________________________ ADDRESS_______________________________________________________________________AGE_________ PRESENT SCHOOL________________________GRADE IN FALL 2015_____ T-SHIRT SIZE YOUTH S M (Circle one) ADULT S M

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I, , authorize the staff of the “Shoremen Boys Basketball Camp” To act according to their best judgment in an emergency situation requiring medical attention and waive and release the program, its staff, and the Avon Lake City School District from any and all liability for any injury incurred while participating in the program. I have no knowledge of any physical impairment that would be affected by the named student’s participation in the program. I further consent authorizing emergency medical treatment. Parent or Guardian’s Signature:

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