Lee-Davis High School
Grade: _____________
Note: Please complete insurance/liability waiver on reverse side.
Parent/Guardian Signature: _________________________________________________
Parent/Guardian: ___________________________________________________________
Phone: (Home): _____________________ Business: ________________________ Other: ______________________
City _____________________________ State ________ Zip ________________
Address ______________________________________________
Camper’s Name: _______________________________________________
3rd-8th Grade Campers—$75.00
Boys and Girls Basketball Camp @ Lee-Davis H.S.
√ Boys and Girls Camp Grades 3rd-8th
√ December 27-29
√ 9:00am-12:00pm (lunch is not provided)
√ Cost: $75.00 Checks made out to Lee-Davis High School
√ Camp T-Shirt (Handed out on Last Day)
√ Camp Location: Lee-Davis H.S.
Lee-Davis High School
Alvin Puller and Chad Bishop L-DHS Basketball 7052 Mechanicsville Pike Mechanicsville, VA 23111 Questions? Call (804) 723-2203 L-DHS Athletics Office
December 27-29, 2017
INFORMATION
School Main Gym & Aux. Gym When to arrive: 8:30am on Dec. 27th to register & check-in for camp By 8:45am on Dec. 28th & 29th to stretch and be ready to go!!
Featuring: Chad Bishop, L-DHS Head Boys’ Coach; Alvin Puller, L-DHS Head Girls’ Coach; L-DHS Assistant Coaches & Players What to bring & wear: Wear shorts & basketball shoes. Bring water bottles and an easy to eat snack!
CAMP ACTIVITIES:
FUNDAMENTALS
CONTESTS
5 on 5 GAMES
Camp awards will be given on the last day of camp (Dec. 29)
Each camper will receive a FREE camp T-shirt
Lee-Davis H.S. Youth Basketball Camp
Registration forms will also be accepted on the first day of camp.
Mail registration form along with your check (made payable to L-DHS) by December 14th to Lee-Davis High School c/o Basketball Program 7052 Mechanicsville Pike Mechanicsville, VA 23111
Parent/Guardian Signature: _____________________________________________ Date: ________________
I will accept responsibility for all financial liability incurred by ___________________________ (camper’s name) as a result of an accident or injury while he is a participant in the L-DHS Basketball Camp.
Our insurance coverage is with: ______________________________________ Policy # ________________________
The Lee-Davis High School Basketball Camp does not provide medical insurance for campers. Each camper’s parent/guardian must sign the waiver form and state their insurance coverage.
Location: Lee-Davis High
Insurance/Liability Waiver
Grades: 3rd-8th
**Clip and Mail. Keep the rest for your information**
2017 Youth Basketball Camp
Note: Please complete insurance/liability waiver on reverse side.
Parent/Guardian Signature: _________________________________________________
Parent/Guardian: ___________________________________________________________
Phone: (Home): _____________________ Business: ________________________ Other: ______________________
City _____________________________ State ________ Zip ________________
Address ______________________________________________
Camper’s Name: _______________________________________________
3rd-8th Grade Campers—$75.00
Boys and Girls Basketball Camp @ Lee-Davis H.S.
√ Boys and Girls Camp Grades 3rd-8th
√ December 27-29
√ 9:00am-12:00pm (lunch is not provided)
√ Cost: $75.00 Checks made out to Lee-Davis High School
√ Camp T-Shirt (Handed out on Last Day)
√ Camp Location: Lee-Davis H.S.
Lee-Davis High School
Alvin Puller and Chad Bishop L-DHS Basketball 7052 Mechanicsville Pike Mechanicsville, VA 23111 Questions? Call (804) 723-2203 L-DHS Athletics Office
December 27-29, 2017
INFORMATION
School Main Gym & Aux. Gym When to arrive: 8:30am on Dec. 27th to register & check-in for camp By 8:45am on Dec. 28th & 29th to stretch and be ready to go!!
Featuring: Chad Bishop, L-DHS Head Boys’ Coach; Alvin Puller, L-DHS Head Girls’ Coach; L-DHS Assistant Coaches & Players What to bring & wear: Wear shorts & basketball shoes. Bring water bottles and an easy to eat snack!
CAMP ACTIVITIES:
FUNDAMENTALS
CONTESTS
5 on 5 GAMES
Camp awards will be given on the last day of camp (Dec. 29)
Each camper will receive a FREE camp T-shirt
Lee-Davis H.S. Youth Basketball Camp
Registration forms will also be accepted on the first day of camp.
Mail registration form along with your check (made payable to L-DHS) by December 14th to Lee-Davis High School c/o Basketball Program 7052 Mechanicsville Pike Mechanicsville, VA 23111
Parent/Guardian Signature: _____________________________________________ Date: ________________
I will accept responsibility for all financial liability incurred by ___________________________ (camper’s name) as a result of an accident or injury while he is a participant in the L-DHS Basketball Camp.
Our insurance coverage is with: ______________________________________ Policy # ________________________
The Lee-Davis High School Basketball Camp does not provide medical insurance for campers. Each camper’s parent/guardian must sign the waiver form and state their insurance coverage.
Location: Lee-Davis High
Insurance/Liability Waiver
Grades: 3rd-8th
**Clip and Mail. Keep the rest for your information**
2017 Youth Basketball Camp
