Basketball Camp Competition at its Finest! FUNDAMENTAL CAMP
TEAM CAMP
CAMP ‘15
Open to any and all grades K-8. Back to the BASICS with station work, COMPETITION and games that provide the TOTAL basketball experience for all levels. Held at the Ward 3 Power Centre off of Highway 14. JUNE 12-14 (9am-Noon) $105
Competitive camp! First class facilities! CERTIFIED officials! You can come ONE day ($160, 3 games), TWO days ($275, 5 games) or THREE days ($420, 8 games)! It is totally up to YOU! Fees do not include housing & meals. Varsity & JV teams are separate entries. JUNE 1, 2, 3 FILL OUT & MAIL TO:
BOX 91535 LAKE CHARLES, LA 70609
NAME: _____________________________________ AGE:______ HEIGHT: ______ PARENT/GUARDIAN:_________________________ HOME ADDRESS: ___________________________ CITY: _______________________________ STATE: ______ ZIP: _______________
HOME #: ________________CELL #: _________________ EMAIL: ___________________________ ATHLETIC AWARD WINNER: ___ SCHOOL: ____________________ GRADE ENTERNING: _____ COACH: _______________________ COACH #: __________________ EMERGENCY CONTACT: ____________________________________ EMERGENCY CONTACT #: ______________________________ PLEASE CIRCLE T-SHIRT SIZE:
YS
YM
YL
S
M
L
XL
XXL
PROOF OF INSURANCE (MUST supply copy at registration) COMPANY: _________________________ GROUP #: ____________ I hereby authorize that my child be admitted to Kacie Cryer Basketball Camp and authorize the directors and camp workers to act for me accordingly to their best judgment in any emergency for which I will pay. I hereby waive and release the camp and school from any and all liability incurred while at camp. SIGNATURE (Parent/Guardian): _____________________________________________________ DATE: __________________ PLEASE CHECK:
___FUNDAMENTAL CAMP (JUNE 12-14) $105 ___TEAM CAMP (JUNE 1) ___TEAM CAMP (JUNE 2) ___TEAM CAMP (JUNE 3)
TEAM SHOOTOUT PRICES:
3 DAYS ($420) 2 DAYS ($275) 1 DAY ($160) SELECT ANY SESSIONS! YOU PICK! Any questions about team camp, please contact Coach Kacie Cryer by email (
[email protected]) or by phone (337.475.5476).
MAIL & MAKE CHECKS PAYABLE TO: KCBC LLC
BOX 91535
LAKE CHARLES, LA
70609