NET QUEST Basketball Camp 2016 Monday, June 27th to Thursday ...
NET QUEST Basketball Camp 2016 Monday, June 27th to Thursday, June 30th For Boys and Girls entering 3rd—9th Grades Mon‐Thurs 9:00 am to 2:30 pm, No Friday Location: JD Main Gym Cost: $125 This camp is designed to provide young athletes with an opportunity to develop and enhance their basketball skills in a fun filled environment. The camp director is Rob Siechen, the JD Varsity Girls’ Basketball Coach. Instruction is provided by experienced coaches who include members of the JD Basketball Teams, college players, and even USA Basketball Players have been instructors. All facets of the game are emphasized on a daily basis. Players are given equal playing time to apply and practice these skills in game situations. Teams will be determined by age and ability. There will be an awards ceremony on Thursday afternoon, and each camper will receive a personalized evaluation. Bring lunches/ There will also be a simple lunch available to purchase. In order to maintain individual attention and involvement , camp size is limited. To reserve your spot please submit the registration form and payment to: Town of DeWitt Recreation 5400 Butternut Drive East Syracuse, NY 13057 Checks payable to : Town of DeWitt Be sure to indicate T-shirt size on registration form:
Please feel free to contact Rob with any questions at 806-6351 or email [email protected] “ I have always believed that is you put in the work, the results will come” -Michael Jordan
NET QUEST Basketball Camp 2016 Monday June 27th to Thursday, June 30th –Cost $125 For Boys and Girls entering 3rd-9th Grades, 9am-2:30pm, No Friday, JD Main Gym Camper’s Name Current Grade
Birthday
T-Shirt Size: (unisex) YL YXL Small Med Large XL
Age
Address City
Zip
Home Phone E-mail Address Parent/Guardian Name Work Phone
Please complete this form and return to, Town of Dewitt Rec 5400 Butternut Dr. East Syracuse, NY 13057
Cell Phone Parent/Guardian Name Work Phone Cell Phone
Make checks payable to: Town of DeWitt
Add. Emergency Name Emergency Phone
Please feel free to contact Rob with any questions at 806-6351 or email [email protected] Bring lunches / There will also be a simple lunch available to purchase. IN order to maintain individual attention and involvement, camp size is limited..
TOWN OF DeWITT WAIVER In consideration of your accepting this registration I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release any and all claims for damages I may have against the Town of DeWitt, the Town of DeWitt Parks and Recreation Department, the Town of DeWitt Parks and Recreation Commission, and any and all sponsors, representatives, successors and assigns, for any and all injuries suffered by me/my child in said program. No medical insurance is carried by the Town for program participants. Registrants are encouraged to have their own medical coverage. Participant/Guardian Signature
Date
Please feel free to contact Rob with any questions at 806-6351 or email [email protected] “ I have always believed that is you put in the work, the results will come” -Michael Jordan
NET QUEST Basketball Camp 2016 Monday June 27th to Thursday, June 30th –Cost $125 For Boys and Girls entering 3rd-9th Grades, 9am-2:30pm, No Friday, JD Main Gym Camper’s Name Current Grade
Birthday
T-Shirt Size: (unisex) YL YXL Small Med Large XL
Age
Address City
Zip
Home Phone E-mail Address Parent/Guardian Name Work Phone
Please complete this form and return to, Town of Dewitt Rec 5400 Butternut Dr. East Syracuse, NY 13057
Cell Phone Parent/Guardian Name Work Phone Cell Phone
Make checks payable to: Town of DeWitt
Add. Emergency Name Emergency Phone
Please feel free to contact Rob with any questions at 806-6351 or email [email protected] Bring lunches / There will also be a simple lunch available to purchase. IN order to maintain individual attention and involvement, camp size is limited..
TOWN OF DeWITT WAIVER In consideration of your accepting this registration I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release any and all claims for damages I may have against the Town of DeWitt, the Town of DeWitt Parks and Recreation Department, the Town of DeWitt Parks and Recreation Commission, and any and all sponsors, representatives, successors and assigns, for any and all injuries suffered by me/my child in said program. No medical insurance is carried by the Town for program participants. Registrants are encouraged to have their own medical coverage. Participant/Guardian Signature
Date
