BLUEFIELD COLLEGE BASKETBALL CAMP 2015
BLUEFIELD COLLEGE BASKETBALL CAMP 2015 BOYS BASKETBALL CAMP (ages 7-15)
LITTLE RAMS (Boys and Girls, ages 4-7)
Location: Dome Gymnasium Date: June 22-25, 2015 Time: Mon-Wed, 9am – 3pm; Thur, 9am-1pm Cost: $75 Concessions available daily
Location: Dome Gymnasium Date: June 25-26, 2015 Time: Thur, 4pm-6pm; Fri 9am-11am Cost: $30 Drinks and snacks provided
WALK INS ARE WELCOME, but to avoid the line at registration please bring this form and proof of insurance with you to registration. You can also mail the form, proof of insurance, and your full payment to the address below. Mail in registrations must be received no later than one week prior to the event.
Make checks payable to: Richard Morgan Basketball Camp 3000 College Drive Bluefield, VA 24605
CAMP REGISTRATION FORM (please print) My child is attending the following event:
Boys Camp: June 22-25
Little Rams: June 25-26
Child’s name:______________________________________ Age ______ Date of Birth _____________ Address:_______________________________________ City, State, Zip:_________________________ School attending in Fall 2015: ____________________________Grade entering in Fall 2015:_________ Parent/Guardian name:_______________________________ Contact Phone:_____________________ T- Shirt Size:
Youth Small
Youth Medium
Do you have medical insurance?
YES
Youth Large
Adult Small
Adult Medium
Adult Large
NO (Proof of insurance required at registration)
Medical history, medications, or known allergies: ____________________________________________________________ I certify that this child is physically fit to participate in all camp activities. I give my consent for camp facilitators to act on my behalf according to their best judgment in the event of injury, illness, or an emergency requiring medical attention.
Parent/Guardian Signature: X_____________________________ Date: ______________________ For more information, contact: Coach Richard Morgan @ (276) 326-4344 or Coach Derrick Price @ (276) 326-4229
LITTLE RAMS (Boys and Girls, ages 4-7)
Location: Dome Gymnasium Date: June 22-25, 2015 Time: Mon-Wed, 9am – 3pm; Thur, 9am-1pm Cost: $75 Concessions available daily
Location: Dome Gymnasium Date: June 25-26, 2015 Time: Thur, 4pm-6pm; Fri 9am-11am Cost: $30 Drinks and snacks provided
WALK INS ARE WELCOME, but to avoid the line at registration please bring this form and proof of insurance with you to registration. You can also mail the form, proof of insurance, and your full payment to the address below. Mail in registrations must be received no later than one week prior to the event.
Make checks payable to: Richard Morgan Basketball Camp 3000 College Drive Bluefield, VA 24605
CAMP REGISTRATION FORM (please print) My child is attending the following event:
Boys Camp: June 22-25
Little Rams: June 25-26
Child’s name:______________________________________ Age ______ Date of Birth _____________ Address:_______________________________________ City, State, Zip:_________________________ School attending in Fall 2015: ____________________________Grade entering in Fall 2015:_________ Parent/Guardian name:_______________________________ Contact Phone:_____________________ T- Shirt Size:
Youth Small
Youth Medium
Do you have medical insurance?
YES
Youth Large
Adult Small
Adult Medium
Adult Large
NO (Proof of insurance required at registration)
Medical history, medications, or known allergies: ____________________________________________________________ I certify that this child is physically fit to participate in all camp activities. I give my consent for camp facilitators to act on my behalf according to their best judgment in the event of injury, illness, or an emergency requiring medical attention.
Parent/Guardian Signature: X_____________________________ Date: ______________________ For more information, contact: Coach Richard Morgan @ (276) 326-4344 or Coach Derrick Price @ (276) 326-4229
