May 29 -June 1
Player’s Name: __________________________________________ I hereby acknowledge that the above named player has no pre-existing injuries/illnesses, heart conditions or asthma and is in good physical health to participate in the Murray State College Camp. If these conditions exist, the above named player has a doctor’s clearance to participate in the Murray State College Camp. I hereby authorize the staff of the Murray State College to act for me according to their best judgment in any emergency situation requiring medical attention. I hereby acknowledge that participation in this camp, as in any sport, may result in accidents and/or injuries. Even though I know there are risks involved, I still give my approval for the above named player to participate in all camp activities. I expressly assume all risks and hazards incidental to such participation, and do hereby waive, release, absolve, indemnify and agree to hold harmless the Murray State College staff, suppliers, sponsors, participants and Murray State College for any claim arising out of injury or illness to said player regardless the cause.
To register, please email Courtney Robinson at [email protected] , or call (405)659-2540 All registration forms being mailed must be mailed to: Courtney Robinson c/o Murray State College WBB One Murray Campus, Tishomingo, OK 73460
May 29th-June 1st Boys & Girls K-4th Grade: 8:30-11:30am 5th-8th Grade: 1-4pm Registration Fee: $50 Instruction by MSC Head WBB Coach Justin Cellum and Head MBB Coach Kevin O’Connor!
I have read and understand the above statements and agree upon the terms: Parent/Guardian Name: __________________________________________ Emergency Contact Number:____________________ Parent/Guardian Signature: __________________________________________ Date:_______________________________
Bring basketball shoes, athletic shorts, and socks!
CAMP EMPHASIS:
Registration
NAME: __________________________
K-4th Grade: 8:00am
GRADE COMPLETED:_______________
5th-8th Grade: 12:30pm
SHIRT SIZE: YS YM YL S M L XL MALE/FEMALE: ___________________ ADDRESS:________________________ ________________________________ CITY:____________________________ STATE: _________ ZIP: _____________ PHONE: _________________________ SCHOOL: ________________________ PARENT/GUARDIAN: ________________________________ DAY PHONE: _____________________ DATE: __________________________ PARENT SIGNATURE: ________________________________
LOCATION MURRAY STATE COLLEGE GYMNASIUM (BEAMES FIELD HOUSE)
To register, please email Courtney Robinson at [email protected] , or call (405)659-2540 All registration forms being mailed must be mailed to: Courtney Robinson c/o Murray State College WBB One Murray Campus, Tishomingo, OK 73460
May 29th-June 1st Boys & Girls K-4th Grade: 8:30-11:30am 5th-8th Grade: 1-4pm Registration Fee: $50 Instruction by MSC Head WBB Coach Justin Cellum and Head MBB Coach Kevin O’Connor!
I have read and understand the above statements and agree upon the terms: Parent/Guardian Name: __________________________________________ Emergency Contact Number:____________________ Parent/Guardian Signature: __________________________________________ Date:_______________________________
Bring basketball shoes, athletic shorts, and socks!
CAMP EMPHASIS:
Registration
NAME: __________________________
K-4th Grade: 8:00am
GRADE COMPLETED:_______________
5th-8th Grade: 12:30pm
SHIRT SIZE: YS YM YL S M L XL MALE/FEMALE: ___________________ ADDRESS:________________________ ________________________________ CITY:____________________________ STATE: _________ ZIP: _____________ PHONE: _________________________ SCHOOL: ________________________ PARENT/GUARDIAN: ________________________________ DAY PHONE: _____________________ DATE: __________________________ PARENT SIGNATURE: ________________________________
LOCATION MURRAY STATE COLLEGE GYMNASIUM (BEAMES FIELD HOUSE)
