Lady Red Hawks Basketball Kids Camp
Lady Red Hawks Basketball Kids Camp Girls -1st – 8th Grade July 10th – 14th from 8 am – 12 pm Cost:
Early Registration until June 10th, 2017- $75.00 At-the-Door Registration - $85.00
Cash, Money Order or Cashier’s Check Only
Camp Director Lindy King Head Coach, SCHS Lady Red Hawks [email protected] Assistant Coaching Staff & Current Lady Red Hawks Players Please mail completed registration form and full payment to:
Cash or Money Orders (Payable to SCHS Lady Red Hawks Basketball) SCHS Lady Red Hawks Basketball Attn: Lindy King 301 Red Hawks Pkwy Smyrna, TN 37167 Camper Name: ________________________________ Parent/Guardian Name: _______________________________ Parent/Guardian Email: ______________________________ Emergency Phone: _______________________________ *number at which you can be reached at all times. Address: ______________________________________ City: ______________ State: _______ Zip: ___________ Grade in School (2016 -2017) ______________________ Shirt Size: ______________________________________ Release of Liability & Authorization for Medical Treatment No one will be allowed to participate before this portion is complete
I/we further release Stewarts Creek High School, Coach King, and all other employees of the camp from any liability for damage and injury to the above individual and herby accept the full responsibility for any and all damages or injuries sustained as a result of participation of the Stewarts Creek High School Lady Red Hawks basketball Camp. I also grant permission for my child to be treated by a member of staff, licenses physician, or athletic trainer in the event of injury, illness, or mishap. Parent/Guardian Name:
Parent/Guardian Signature:
Date:
______________________________________
_____________________________________
___________________
Early Registration until June 10th, 2017- $75.00 At-the-Door Registration - $85.00
Cash, Money Order or Cashier’s Check Only
Camp Director Lindy King Head Coach, SCHS Lady Red Hawks [email protected] Assistant Coaching Staff & Current Lady Red Hawks Players Please mail completed registration form and full payment to:
Cash or Money Orders (Payable to SCHS Lady Red Hawks Basketball) SCHS Lady Red Hawks Basketball Attn: Lindy King 301 Red Hawks Pkwy Smyrna, TN 37167 Camper Name: ________________________________ Parent/Guardian Name: _______________________________ Parent/Guardian Email: ______________________________ Emergency Phone: _______________________________ *number at which you can be reached at all times. Address: ______________________________________ City: ______________ State: _______ Zip: ___________ Grade in School (2016 -2017) ______________________ Shirt Size: ______________________________________ Release of Liability & Authorization for Medical Treatment No one will be allowed to participate before this portion is complete
I/we further release Stewarts Creek High School, Coach King, and all other employees of the camp from any liability for damage and injury to the above individual and herby accept the full responsibility for any and all damages or injuries sustained as a result of participation of the Stewarts Creek High School Lady Red Hawks basketball Camp. I also grant permission for my child to be treated by a member of staff, licenses physician, or athletic trainer in the event of injury, illness, or mishap. Parent/Guardian Name:
Parent/Guardian Signature:
Date:
______________________________________
_____________________________________
___________________
