COST: $85
Campers will…
COST: $85 PER CAMPER SIBLING DISCOUNT: $10 OFF PER
Develop their skills through drill work, contests, & games. Will Receive a Truman Bulldog Camp T-Shirt Instruction & interaction with Truman Players Coaching Staff
CAMPER
**Send Registration Form and Payment to: Truman State Basketball | 314 Pershing Arena| 100 Normal Ave | Kirksville, MO 63501 You can also register online. http://www.trumanstatebasketball.com/ Please call 303-594-3336 or email [email protected] with any questions.
Camper(s) Name: Parents’ Names: Other Campers in your group for Team Discount: Home Address: Family E-Mail Address: Phone Number: (
)
_______ T-Shirt Size:
_________ Grade Entering Fall 2017:
School: School Coach’s Phone Number and E-mail Address: (
_______
School Coach’s Name: )
/
Parental Statement/Insurance Information Release Form: I authorize the Truman State University Truman Basketball Day Camp/Truman State University to obtain medical care or treatment for the named participant in the event of a medical emergency or if a non-emergency treatment is required and I cannot be reached to provide consent. I release Truman State University Truman Basketball Day Camp/Truman State University from all claims resulting from illness, injury, accident sustained by participant thereby permitting participant to take part in the Basketball Camp on the campus of Truman State University. Print Name: Signature:
Date:
COST: $85 PER CAMPER SIBLING DISCOUNT: $10 OFF PER
Develop their skills through drill work, contests, & games. Will Receive a Truman Bulldog Camp T-Shirt Instruction & interaction with Truman Players Coaching Staff
CAMPER
**Send Registration Form and Payment to: Truman State Basketball | 314 Pershing Arena| 100 Normal Ave | Kirksville, MO 63501 You can also register online. http://www.trumanstatebasketball.com/ Please call 303-594-3336 or email [email protected] with any questions.
Camper(s) Name: Parents’ Names: Other Campers in your group for Team Discount: Home Address: Family E-Mail Address: Phone Number: (
)
_______ T-Shirt Size:
_________ Grade Entering Fall 2017:
School: School Coach’s Phone Number and E-mail Address: (
_______
School Coach’s Name: )
/
Parental Statement/Insurance Information Release Form: I authorize the Truman State University Truman Basketball Day Camp/Truman State University to obtain medical care or treatment for the named participant in the event of a medical emergency or if a non-emergency treatment is required and I cannot be reached to provide consent. I release Truman State University Truman Basketball Day Camp/Truman State University from all claims resulting from illness, injury, accident sustained by participant thereby permitting participant to take part in the Basketball Camp on the campus of Truman State University. Print Name: Signature:
Date:
