2017 Warrior basketball camp
BOYS ENTERING GRADES K-9
HELD AT LEBANON HIGH SCHOOL
2017 WARRIORS BASKETBALL CAMP
GRADES K-6: 9:00-12:00 May 30-June 2
GRADES 7-9: 1:00-4:00 MAY 30-JUNE 2
2017 BASKETBALL CAMP REGISTRATION FORM Camper: ___________________________ Grade in 2017-2018: _____ Parents: ___________________________ Shirt Size: YS YL S M L XL Address: __________________________ Cost: $85 Per Camper Email Address: _____________________ Includes Camp Shirt Phone #: __________________________ Emergency Contact (Name/#)____________________________________ Release of Responsibility: I, the parent/guardian of the above named I hereby consent to the participation of this camp. In the event child, shall hold harmless Lebanon City Schools, its officers, of an emergency, I give the staff permission to take medical employees, coaches, and camp staff against liability, claim, action, emergencies to the closest medical center. cost, damage, loss, or injury while participating in the basketball camp.
Parent Signature: _________________________________ Parent Signature: __________________________
Make Payments to LW Basketball LLC Please return to: Boys basketball camp, Kevin Higgins, 3823 Thimbleglen Dr. Cincinnati, OH 45251. Or drop off at LHS Athletic Office
HELD AT LEBANON HIGH SCHOOL
2017 WARRIORS BASKETBALL CAMP
GRADES K-6: 9:00-12:00 May 30-June 2
GRADES 7-9: 1:00-4:00 MAY 30-JUNE 2
2017 BASKETBALL CAMP REGISTRATION FORM Camper: ___________________________ Grade in 2017-2018: _____ Parents: ___________________________ Shirt Size: YS YL S M L XL Address: __________________________ Cost: $85 Per Camper Email Address: _____________________ Includes Camp Shirt Phone #: __________________________ Emergency Contact (Name/#)____________________________________ Release of Responsibility: I, the parent/guardian of the above named I hereby consent to the participation of this camp. In the event child, shall hold harmless Lebanon City Schools, its officers, of an emergency, I give the staff permission to take medical employees, coaches, and camp staff against liability, claim, action, emergencies to the closest medical center. cost, damage, loss, or injury while participating in the basketball camp.
Parent Signature: _________________________________ Parent Signature: __________________________
Make Payments to LW Basketball LLC Please return to: Boys basketball camp, Kevin Higgins, 3823 Thimbleglen Dr. Cincinnati, OH 45251. Or drop off at LHS Athletic Office
