Lady Basketball Summer Camp Form
SUMMER KICK-OFF GIRLS BASKETBALL CAMP JUNE 5-8,2017 TALAWANDA
LADY BRAVES BASKETBALL
Find Your Camp: COME WORK WITH THE HIGH SCHOOL GIRLS & COACHES! Grades 2-3 (10-11 AM) $45 Grades 4-5 (10-12) $70 Grades 6-7-8 (10-12) $70
NEW THIS YEAR: Advanced Camp-Grades 6-8 that have at
Registration Form: Send Form & Payment to:
Talawanda Basketball c/o Tom Head 5301 University Park Blvd Oxford, OH 45056 (Checks payable to Talawanda Athletic Boosters) Player’s Name_____________________________________________ Grade________(Fall 2017) School____________________(Fall 2017)
least 2 years organized game experience and have mastered basic skills. (10 AM-1 PM) $80 Coaches: Varsity Head Coach Tom Head & Returning All-Star/ 1st Team All-Conference Addie Brown.
Parent Name______________________________________________
Early Bird Discount
Email____________________Player___________________________
SAVE $10 if you register before May 25, 2017. Checks should be made payable to the Talawanda Athletic Boosters.
Circle Shirt Size—Adult or Child S
M
L XL XXL
Address___________________________________________________ City________________________State________Zip Code_________ Cell Phone Parent_________________Player___________________
Medical Conditions________________________________________ Emergency Contact Name__________________________________ Emergency Contact Numbers_______________________________ Email Address_____________________________________________
Free Camp T-Shirts! If you have any questions, CONTACT US: Coach Head: 513-658-8179 [email protected] Coach Lyon: 513-658-0191 [email protected]
Waiver for ParticipationIn consideration, I hereby, for my myself and my child, waive and release any and all rights and claims for damage I or my child may have against the Talawanda Basketball Staff and its representatives and for any and all injuries suffered by my child during camp. I consent to allow my child to receive necessary medical treatment for injuries incurred while attending camp.
Parent Signature_________________________Date______________ 1
LADY BRAVES BASKETBALL
Find Your Camp: COME WORK WITH THE HIGH SCHOOL GIRLS & COACHES! Grades 2-3 (10-11 AM) $45 Grades 4-5 (10-12) $70 Grades 6-7-8 (10-12) $70
NEW THIS YEAR: Advanced Camp-Grades 6-8 that have at
Registration Form: Send Form & Payment to:
Talawanda Basketball c/o Tom Head 5301 University Park Blvd Oxford, OH 45056 (Checks payable to Talawanda Athletic Boosters) Player’s Name_____________________________________________ Grade________(Fall 2017) School____________________(Fall 2017)
least 2 years organized game experience and have mastered basic skills. (10 AM-1 PM) $80 Coaches: Varsity Head Coach Tom Head & Returning All-Star/ 1st Team All-Conference Addie Brown.
Parent Name______________________________________________
Early Bird Discount
Email____________________Player___________________________
SAVE $10 if you register before May 25, 2017. Checks should be made payable to the Talawanda Athletic Boosters.
Circle Shirt Size—Adult or Child S
M
L XL XXL
Address___________________________________________________ City________________________State________Zip Code_________ Cell Phone Parent_________________Player___________________
Medical Conditions________________________________________ Emergency Contact Name__________________________________ Emergency Contact Numbers_______________________________ Email Address_____________________________________________
Free Camp T-Shirts! If you have any questions, CONTACT US: Coach Head: 513-658-8179 [email protected] Coach Lyon: 513-658-0191 [email protected]
Waiver for ParticipationIn consideration, I hereby, for my myself and my child, waive and release any and all rights and claims for damage I or my child may have against the Talawanda Basketball Staff and its representatives and for any and all injuries suffered by my child during camp. I consent to allow my child to receive necessary medical treatment for injuries incurred while attending camp.
Parent Signature_________________________Date______________ 1
