PICKERINGTON HIGH SCHOOL NORT H
PANTHER
BASKETBALL
CAMP
June 29 - July 2 / 2014 | 5:30pm-8:30pm
Boys grades 3-8 · $60/student REGISTRATION BEGINS AT 5PM REGISTER EARLY TO RESERVE A SPOT THE PANTHER BASKETBALL CAMP WILL INCLUDE: • Focus on skills and strategies to become a better player • Group and Individual instruction from qualified coaches • Access to training aids used by high school coaches • End of camp evaluation by entire staff
IMPROVEMENT BEGINS WITH "I"
• Individual and team competitions • T-Shirt for every camper • Prizes, contests, and hours of fun!
Camp Director & Staff Head Coach: Jason Bates (
[email protected] ) E. Zoog / A. Shaheer / K. Rios / C. Jefferson / J. Tanks Pickerington High School Nor th \ 7800 Refugee Road \ Pickerington, OH 43147
PANTHER BASKETBALL CAMP REGISTRATION FORM NAME: ADDRESS: CITY: ZIP: SCHOOL: GRADE: PARENT/GUARDIAN: EMERGENCY PHONE: RELEASE AND WAIVER (Must be signed by child and by parent/guardian in order to participate) The undersigned, in partial consideration for the participation of his/her child in Pickerington North Basketball Camps, does hereby waive, release and forever discharge Pickerington High School North, its agents and employees, from any and all injury or damages sustained by the participant child or his/her parents, legal guardian, representatives, heirs, or successors arising from or out of said participation. In addition, the undersigned does hereby agree to indemnity and save harmless Pickerington High School North, its agents and employees, from any and all claims or demands for loss, cost injury or damage whatsoever arising from the participation of his/her child in the above mentioned activities, including but not limited to negligence of said child. Child’s Signature: Parent/Guardian Signature: Dates: