EMS Tiger Basketball 2017 Camp

ELIGIBILITY Girls entering the sixth through eighth grades next fall. (2017-2018)

EMS Tiger Basketball

ALL SESSIONS WILL BE HELD AT EISENHOWER MIDDLE SCHOOL

2016

3. Make checks payable to: Cheryl Congleton 4. For more information email: [email protected]

Parent/Guardian: ___________________________ Grade in School (Fall 2017)

FEE $40 per participant

Or...drop off your registration and fee at Discovery Intermediate School ON or BEFORE May 19, 2017

Address: ______________________________

Age:______

FROM 9:00 am to 11:00 am

301 S. Main St. P.O. Box 248 Goddard, Kansas 67052

Name:________________________

Phone:__________________________

(Sports Entrance)

REGISTRATION 1. Fill out registration form 2. Mail to:

REGISTRATION FORM

Circle one: 6 7 8

2017 Camp June 26-28, 2017 Grades 6-8 (incoming)

I hereby certify that:_________________________ Is physically fit to participate in an active basketball camp during the month of June 2017. I release USD 265 from responsibility of injury related to the basketball camp. Parent or Guardian’s Signature: _________________________

Camp Contacts Melissa Short and Cheryl Congleton [email protected] [email protected]