Mountain View High School Summer Basketball Camp

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B.J. Roy Head Coach

Insurance Information

Chris Reonas J.V. Boys Coach

Gwinnett County Public Schools wishes to advise you that the activity selected by your

Rob Rodgers 9th Grade Boys Coach

student could result in some degree of physical injury. Gwinnett County Public Schools does not have nor is it required to have insurance for such accidents. It is therefore incumbent upon you to properly insure your student. As a parent or participant in Gwinnett County Public Schools Community School Program, it is your responsibility to provide for such exposure.

By signing below as a parent or guardian, I acknowledge my responsibility to secure or

The Mountain View Boys Basketball Team will also be there to support your child. We are looking forward to the working with your child this summer. We will be focusing on skills such as ball handling, passing, shooting, and defensive positioning in a fun environment. Thanks again for you support.

provide proper medical insurance.

Mountain View High School Summer Basketball Camp

Go Bears Parent/Guardian Signature:

May 26 through May 29th 9:00 a.m. to 3:00 p.m.

___________________________________ Date: __________________

MAKE CHECKS PAYABLE TO: Mountain View Community School xxxxx PLEASE SIGN INSURANCE WAVIER ON THE OTHER SIDE OF REGISTRATION FORM!

Register with the Mountain View Community School

MOUNTAIN VIEW BOYS BASKETBALL CAMP

APPLICATION FORM

REGISTRATION INFORMATION

COST $125.00

GOALS OF THE CAMP MAY 26-29 The goal of the summer basketball camp

9:00 a.m. to 3:00 p.m.

NAME ADDRESS

is to provide each young person the opportunity to gain self-confidence and a better understanding of the game of basketball. We will also emphasize the development of proper attitudes, which are important in basketball, as well as daily living.

HOW TO REGISTER Community School Office: 678-407-7616 Glenn George [email protected]

CAMP BENEFITS The camp include: individualized in-

Dolford Layson [email protected]

on the fundamentals of basketball.

INSTRUCTORS MOUNTAIN VIEW BOYS

PHONE GRADE THIS SCHOOL SIGNATURE OF PARENT

T-SHIRT SIZE YOUTH SMALL

ADULT MEDIUM

YOUTH MEDIUM

ADULT LARGE

ADULT SMALL

ADULT X-LARGE

B.J. Roy Head Coach

struction, exposure to high school coaches, camp t-shirt, and an emphasis

AGE

WHERE TO REPORT MOUNTAIN VIEW H.S.

Chris Reonas J.V. Boys Coach Rob Rodgers 9th Grade Boys Coach

HIGH SCHOOL GYM MAKE CHECKS PAYABLE TO: Mountain View Community School

BASKETBALL STAFF & BEARS PLAYERS

PLEASE SIGN INSURANCE WAVIER ON THE OTHER SIDE OF REGISTRATION FORM!