timpanogos
TIMPANOGOS Boy’s Basketball 2016 Summer Clinics The Clinics include: • • • •
SESSION DATES 1st SESSION: July 19-21 2nd SESSION: July 26-28 SCHEDULE: Grades 4-6: 8:30am - 10am Grades 7-9: 10:30am - 12pm Grades 10-12: 12:30pm - 2pm
Individual drills and skill development Team Strategies 1 on 1 Competitions Shooting Competitions
This is an opportunity for Coach Ingle and his staff to provide individual instructions to players. Each session will have limited room so we can focus more on the individual development of each player.
COST:
$45 per Session ($35 per session if child attended our Camp)
Clinics Held in Timpanogos HS Main Gym: 1450 N. 200 E. Orem, UT 84057
-------------------------------------------------------------------------------REGISTRATION FORM:
Insurance Provider __________________________________
Participant Name: ____________________________________________
Policy# ______________________ Group#________________
Grade for 2016-‐17 School year:_____________________________
I, the undersigned, submit that my child is physically fit and able to participate in strenuous activity and hereby waive Timpanogos High School of all responsibility for illness or injury sustained. I hereby authorize camp personnel and directors to act on my behalf in using judgment in treating any medical situation that may arise.
Did Participant attend our Basketball Camp? Yes No Check Each Session Attending: 1st
2nd
Total Amount Paid: __________________________________________ Parent/Guardian Name: _____________________________________ Parent/Guardian Phone: ____________________________________ Email:__________________________________________________________ Mail Completed registration form, waiver & payment to: Timpanogos HS Coach Izzy Ingle 1450 North 200 East Orem, UT 84057 *Or scan/email registration form and waiver to: [email protected] and pay at the THS Finance Office *Make Checks payable to: Timpanogos Basketball
I understand that I am solely responsible for payment of any such medical expenses and must provide the camp with proof of medical/accident insurance. Parent Signature: ____________________________________ Print Full Name: ______________________________________ Date: __________________________________________________ Have any questions? Contact Coach Ingle at [email protected]
SESSION DATES 1st SESSION: July 19-21 2nd SESSION: July 26-28 SCHEDULE: Grades 4-6: 8:30am - 10am Grades 7-9: 10:30am - 12pm Grades 10-12: 12:30pm - 2pm
Individual drills and skill development Team Strategies 1 on 1 Competitions Shooting Competitions
This is an opportunity for Coach Ingle and his staff to provide individual instructions to players. Each session will have limited room so we can focus more on the individual development of each player.
COST:
$45 per Session ($35 per session if child attended our Camp)
Clinics Held in Timpanogos HS Main Gym: 1450 N. 200 E. Orem, UT 84057
-------------------------------------------------------------------------------REGISTRATION FORM:
Insurance Provider __________________________________
Participant Name: ____________________________________________
Policy# ______________________ Group#________________
Grade for 2016-‐17 School year:_____________________________
I, the undersigned, submit that my child is physically fit and able to participate in strenuous activity and hereby waive Timpanogos High School of all responsibility for illness or injury sustained. I hereby authorize camp personnel and directors to act on my behalf in using judgment in treating any medical situation that may arise.
Did Participant attend our Basketball Camp? Yes No Check Each Session Attending: 1st
2nd
Total Amount Paid: __________________________________________ Parent/Guardian Name: _____________________________________ Parent/Guardian Phone: ____________________________________ Email:__________________________________________________________ Mail Completed registration form, waiver & payment to: Timpanogos HS Coach Izzy Ingle 1450 North 200 East Orem, UT 84057 *Or scan/email registration form and waiver to: [email protected] and pay at the THS Finance Office *Make Checks payable to: Timpanogos Basketball
I understand that I am solely responsible for payment of any such medical expenses and must provide the camp with proof of medical/accident insurance. Parent Signature: ____________________________________ Print Full Name: ______________________________________ Date: __________________________________________________ Have any questions? Contact Coach Ingle at [email protected]
