BOSLEY'S MAVERICK - Pasadena Memorial High School
PASADENA MEMORIAL BASKETBALL CAMP REGISTRATION FORM Coach Bosley Bio David Bosley is the Head Boys Basketball Coach at Pasadena Memorial High School. He played basketball at Louisiana State University and has worked college camps for over 15 years including UT, A&M, Baylor, Rice, San Jacinto College and others.
Camp will include: Fundamental Stations Instructional Lectures Conditioning Stations Game Play Campers Receive T-Shirt & Basketball Awards Ceremony
Contact Information:
David Bosley Athletic Website:
[email protected] www.MavPride.com
(713)922-1245 mobile
Mark your Calendar June 6th – 9th 8:00 am – 11:00 am 12:00 pm- 3:00 pm st th Incoming grades 1 – 5 Grade 6th – 9th Grade Location: Pasadena Memorial High School 4410 Crenshaw Blvd. Pasadena, TX 77504 Payment Information: $60.00 if you pre-register OR $75.00 late registration at the door Online payment and registration: http://memorial.pasadenaisd.org , click on “News” Registration form must be mailed, emailed or delivered to PMHS OR Pay online and complete the Google form. http://memorial.pasadenaisd.org/news Date and Time:
PISD Students may pay cash, credit card, cashier’s check, or money order. NON-PISD Campers may pay with credit card, cashier’s check, or money order. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PLEASE PRINT, FILL OUT AND DETACH BOTTOM PORTION OF FORM Participant’s Name: ___________________________ Last Name
____________ Grade Entering 2016-17 School Year DOB:___/____/____ Address:__________________________________City:______________ST:_____ZIP:____________ PISD Student ID#:___________________________
_____________________________ First Name
School Attending: ________________________________
Participant’s T-Shirt Size (please circle one): Youth S
M
L
Adult
S
M
L
XL
Parent/Guardian Name(s):_______________________________________ Parent’s Phone______________________ Player’s Mobile___________________________ (optional)
Parent’s Email___________________________________
Registration and Payment Deadline: Friday, June 3rd, 2016 Total Amount Due: $____________________ ________________________________________
Signature of Parent/Guardian
________________ Date Signed
“Pasadena Independent School District does not carry insurance for summer fitness/recreation programs. Parents will be responsible for any medical expenses incurred.” Please Note: We can only accept – online payment or cash, money orders, or cashier checks on site Please make cashier checks or money orders payable to: Pasadena Memorial HS (No Personal Checks)
Camp will include: Fundamental Stations Instructional Lectures Conditioning Stations Game Play Campers Receive T-Shirt & Basketball Awards Ceremony
Contact Information:
David Bosley Athletic Website:
[email protected] www.MavPride.com
(713)922-1245 mobile
Mark your Calendar June 6th – 9th 8:00 am – 11:00 am 12:00 pm- 3:00 pm st th Incoming grades 1 – 5 Grade 6th – 9th Grade Location: Pasadena Memorial High School 4410 Crenshaw Blvd. Pasadena, TX 77504 Payment Information: $60.00 if you pre-register OR $75.00 late registration at the door Online payment and registration: http://memorial.pasadenaisd.org , click on “News” Registration form must be mailed, emailed or delivered to PMHS OR Pay online and complete the Google form. http://memorial.pasadenaisd.org/news Date and Time:
PISD Students may pay cash, credit card, cashier’s check, or money order. NON-PISD Campers may pay with credit card, cashier’s check, or money order. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PLEASE PRINT, FILL OUT AND DETACH BOTTOM PORTION OF FORM Participant’s Name: ___________________________ Last Name
____________ Grade Entering 2016-17 School Year DOB:___/____/____ Address:__________________________________City:______________ST:_____ZIP:____________ PISD Student ID#:___________________________
_____________________________ First Name
School Attending: ________________________________
Participant’s T-Shirt Size (please circle one): Youth S
M
L
Adult
S
M
L
XL
Parent/Guardian Name(s):_______________________________________ Parent’s Phone______________________ Player’s Mobile___________________________ (optional)
Parent’s Email___________________________________
Registration and Payment Deadline: Friday, June 3rd, 2016 Total Amount Due: $____________________ ________________________________________
Signature of Parent/Guardian
________________ Date Signed
“Pasadena Independent School District does not carry insurance for summer fitness/recreation programs. Parents will be responsible for any medical expenses incurred.” Please Note: We can only accept – online payment or cash, money orders, or cashier checks on site Please make cashier checks or money orders payable to: Pasadena Memorial HS (No Personal Checks)
