Camp # PHN-305A PHN-305B PHN-305C
Grades Times th th 7 – 9 Grade 9:00 AM – 11:00 AM 4th – 6th Grade 11:00 AM – 1:00 PM 1st – 3rd Grade 1:30 PM – 3:00 PM Monday 6/19 – Thursday 6/22
Price $50 $50 $50
(Grade placement in 2017-2018 school year) .
The cost of the camp is $50 for the 1st child and $30 for the 2nd with a family cap of $80. Unfortunately, there are no 21st Century scholarships this year. For more information, please contact Brian Jamison at
[email protected] or call 984-2671.
2017 Northern Boys Basketball Camp Registration Form Please circle camp choice: 7 th – 9th Grade (grade placement in 17-18)
4th – 6th Grade
1st – 3rd Grade
Name:_________________________________________________________ Primary Phone: ____________________ Address: _______________________________________________________ Secondary Phone: ____________________ Street Address City Zip School:_______________________________________ Grade in 2017/2018:_____________ Please circle shirt size:
Youth: S
M
L
Adult:
Age:_____________
S M L XL XXL
The undersigned does hereby waive and release the Port Huron Area School District, its agents and employees, from any and all liability for claim or cause of action that might arise or result from the above named student’s participation. Parent's Signature: _________________________ Parent e-mail : ____________________________________ Payment: ___Cash
___Check Amount $_____________ Return to: Attn: Brian Jamison-PHN · 1799 Krafft Rd · Port Huron, MI 48060 Make Checks Payable to PHN.