registration form - Cumberland Valley School District

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MEDICAL INFORMATION

IMPORTANT INFORMATION

Medical Conditions ___________________ ___________________

SPACE IS LIMITED

MEDICAL WAIVER This camp is physically demanding and all players should have recent medical examinations prior to attending. The Lady Eagles Camp will use accepted methods of training and safety at all times. Each camper is responsible for having their own health insurance. In the event an injury should occur while attending camp, I hereby give my permission for camp staff to seek appropriate medical attention. I understand that I am responsible for any and all medical coverage and release Cumberland Valley School District, basketball staff, players and booster club of any liabilities. PARENT SIGNATURE

DATE

CUMBERLAND VALLEY 2017 LADY EAGLES BASKETBALL CAMP

Participation in each session is on a first come first serve basis on receipt of registration and payment. If a session fills up completely a notice will be placed on the CV girls basketball booster website. cumberlandvalleygirlsbasketball.shutterfly.com STAFF A member of the CV Girls Basketball coaching staff and members of the CV Girls Basketball Varsity Team. A certified athletic trainer will be present. WHAT TO WEAR/BRING Please make sure you are dressed properly. Sneakers must be worn for the sessions. Please do not bring basketballs. Water bottles are permitted. Please do not wear any jewelry or watches. QUESTIONS Contact Booster President, Tracy Zimmerman Cell (717) 608-2230 or email [email protected]

June 6th - 9th, 2017 Girls Camp 9:00 am - 12:00 pm Rising 1st-4th Grade 1:00 pm - 4:00 pm Rising 5th-8th Grade

Run by The CV Basketball Booster Club & The CV Lady Eagles Varsity Team [email protected]

REGISTRATION FORM

EVENT DETAILS WHO/WHEN Girls entering grades 1st - 8th Rising 1st -4th Grade 9:00 am-12:00 pm Rising 5th—8th Grade 1:00 pm-4:00 pm

Tuesday June 6th-9th, 2017 On the first day please arrive 15-20 minutes before the start of your session to register and receive your preferred camp T-shirt. WHERE Cumberland Valley High School Dome & Spectator Gyms. You can enter the Dome 15 minutes prior to your session start time. Please pick up your camper within 15 minutes after your camp session ends.

EVENT DETAILS COST $80 if registration is received by Treasurer before May 23, 2017. If registration is after May 23, 2017 it will be $90 cost per child. If you register after May 23, 2017 we cannot guarantee your preferred camp T-shirt size.. The cost of the camp includes a camp T-shirt. If space permits you can register up to the first day of camp. A $10.00 sibling discount per family is available. Please make checks out to Cumberland Valley Girls Basketball Booster Club or CVGBB and mail to: Treasurer Lauren Bordlemay 219 Woods Drive Mechanicsburg, PA 17050 or pay online at https:// cumberlandvalleygirls basketball.shutterfly.com

(detach and return with payment) To Treasurer Lauren Bordlemay 219 Woods Drive, Mechanicsburg, PA 17050 Or Register and pay online at cumberlandvalleygirlsbasketball.shutterfly.com/events Camper

_______________________ Sibling

_______________________ Parent

_______________________ Parent

_______________________ Home Phone

_______________________ Cell Phone

_______________________ Email

_______________________ Emergency Contact

_______________________ Emergency Number

_______________________ Address

_______________________ _______________________ _______________________ Grade in August 2017

_______________________ School you will attend in 2017

_______________________ T-Shirt Size (circle one) YOUTH SIZES X-SMALL SMALL MEDIUM LARGE X-LARGE ADULT SIZES SMALL MEDIUM LARGE X-LARGE

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