Insurance Company: _____________________________________ Group #: ____________________________________
Parent name (print): _____________________________________ Parent signature: __________________________________
I understand that I am responsible for any injury that may occur during camp. My child has no existing health condition that should prohibit him/her from participation. I am clearing SSHS/Saxon Basketball from any liability.
Emergency Contact: ______________________________ Phone: ____________
Address: __________________________________________Email: __________________________
Parent name: ____________________________________ Phone: ___________
Youth name: ___________________________________ Age: _________
Dates: November 6th Grades: 4th through 8th Main gym: 7:00 - 8:30pm Cost: Free * Please contact Head Girls Coach Adrian Lewis if you are interested. Younger players are welcomed to to come. Contact Coach Lewis if there are any questions. Please mail or email Coach Lewis if you are interested in signing up. Contact: Adrian Lewis (503-399-3252 or
[email protected] ) 1910 Church St. SE Salem, OR 97302
2017-18 Girls Youth Clinic South Salem Girls Basketball trying to create a youth program. Before we start our program we want to build a solid foundation with the girls and the Salem community by building great fundamentals and knowledge within our youth players. This is a great way for future Saxons to be a part of the school spirit and community. Each girl at our clinic will get a shirt and access to any girls home game. Clinics will be ran by Head Girls Coach Adrian Lewis along with Coach Jason Herber. We will have other coaches as well and even special guests/athletes that will attend.
All skill levels are welcome. Clinics will include fundamental work, development of basketball IQ and even game play.