Girls and Boys Grades 2-4 January 15th-16th 3:15pm to 5:00pm Cost: $30.00 @ Montana Tech Kelvin Sampson Arena (HPER) This Camp is for young kids to be introduced to the fun and exciting game of basketball. We will teach the fundamentals of basketball while creating a positive fun filled atmosphere by encouragement and awarding daily prizes. The camp will be directed by Coach Wilson and coached by Montana Tech basketball players. QUESTIONS?? Please call Lindsie Wilson at 801-376-0092, or email
[email protected], or check out our website, www.godiggers.com
Complete this application and mail it along with a check or money order for the appropriate tuition, in full, payable to: MT Tech Women’s Basketball, 1300 West Park Street, Butte, MT 59701. Little Digger Dribblers Basketball Camp = $30.00 Camper Name: _______________________________________ Address: _________________________________________________ State: ___________ Zip: ______________ Age: ____________ Grade/School: ___________________________________________ Parent Name: _______________________________ Best phone number to reach you during camp hours: ______________________ Liability Release & Medical Authorization: I hereby authorize my child’s participation in the Little Digger Dribbler Camp. I know of no mental or physical problems which may affect my child’s ability to safely participate in this camp. I realize the camp has the exclusive right to deny admission to or dismiss any participant or employee of the camp for just cause. I hereby authorize the staff of the Digger Hoop Camp to act in my absence in the case of illness or injury involving my child. I realize that I am responsible for any and all medical or other charges incurred in connection with my child’s participation in the Little Digger Dribbler Camp. I hereby release and hold harmless the Little Digger Dribbler Camp, Montana Tech and their employees, agents and assigns from any and all liability that may arise out of my child’s participation in the camp, including transportation to and from camp. Parent or Guardian Signature: __________________________________________________________ Date: ____________________