Registration Agreement
Registration Agreement th
th
5 -8 Grade Boys and Girls Basketball Camp June 5-9, 2017 9:00am – 1:00pm
Office Date_____________________ Amount__________________ Cash_____________________ Check____________________ Coding___________________
Come improve your basketball skills at Calvary Chapel Academy’s Basketball Camp. This camp will feature Coach Corey Williams of the Space Coast Stars and Calvary Chapel Academy plus various other players and coaches from the area. Coach Williams has a passion for the game of basketball and with his professional level of coaching to encourage great skills for playing the game of basketball. This camp will focus on training and a skill development for students that want to maximize their potential. The camp will focus on the following:
Perfecting Your Skills Increasing Your Confidence Improving Your Game
Monday: June 5, 2017, 9:00am-1:00pm (CCA Gym) o Skills and drills, mini game sessions Tuesday: June 6, 2017, 9:00am-1:00pm (CCA Gym) o Skills and drills, mini game sessions Wednesday: June 7, 2017, 9:00am-1:00pm (CCA Gym) o Skills and drills, mini game sessions Thursday: June 8, 2017, 9:00am-1:00pm (CCA Gym) o Skills and drills, mini game sessions Friday: June 9, 2017, 9:00am-1:00pm (CCA Gym) o Skills and drills, mini game sessions
Cost:
Registration paperwork will be available via CCA’s website and required to be received by Athletic Director: o Registration Agreement (this form) Special Requirements: o Participants that are GOING INTO 5th Grade and those that are just finishing their 8 th Grade year are eligible for this camp. o Participation fee of $75 will be required prior to any student participating in the camp. Contact: Jeff DiPianta, Athletic Director [email protected].
$75 (CHECK OR CASH ONLY)
Student LEGAL name (legible): ___________________________________________ Student Date of Birth (legible): ____________________________________________ Student grade (circle):
5
6
Gender (circle):
Male
Female
T-Shirt Size (circle):
YS
YM
7
8
YL
YXL
AS
AM
AL
AXL
Parent/guardian name (legible): _____________________________________ Parent/guardian phone (legible): _____________________________________ Parent/guardian email (legible): _____________________________________ I acknowledge and agree to fulfill the above in order for the named student to participate. I understand that failure to fulfill the above and turn in required paperwork in a timely manner may result in restricting the named student’s participation. ____________________________________________________________ Legal parent/guardian signature date 3/25/2017
th
5 -8 Grade Boys and Girls Basketball Camp June 5-9, 2017 9:00am – 1:00pm
Office Date_____________________ Amount__________________ Cash_____________________ Check____________________ Coding___________________
Come improve your basketball skills at Calvary Chapel Academy’s Basketball Camp. This camp will feature Coach Corey Williams of the Space Coast Stars and Calvary Chapel Academy plus various other players and coaches from the area. Coach Williams has a passion for the game of basketball and with his professional level of coaching to encourage great skills for playing the game of basketball. This camp will focus on training and a skill development for students that want to maximize their potential. The camp will focus on the following:
Perfecting Your Skills Increasing Your Confidence Improving Your Game
Monday: June 5, 2017, 9:00am-1:00pm (CCA Gym) o Skills and drills, mini game sessions Tuesday: June 6, 2017, 9:00am-1:00pm (CCA Gym) o Skills and drills, mini game sessions Wednesday: June 7, 2017, 9:00am-1:00pm (CCA Gym) o Skills and drills, mini game sessions Thursday: June 8, 2017, 9:00am-1:00pm (CCA Gym) o Skills and drills, mini game sessions Friday: June 9, 2017, 9:00am-1:00pm (CCA Gym) o Skills and drills, mini game sessions
Cost:
Registration paperwork will be available via CCA’s website and required to be received by Athletic Director: o Registration Agreement (this form) Special Requirements: o Participants that are GOING INTO 5th Grade and those that are just finishing their 8 th Grade year are eligible for this camp. o Participation fee of $75 will be required prior to any student participating in the camp. Contact: Jeff DiPianta, Athletic Director [email protected].
$75 (CHECK OR CASH ONLY)
Student LEGAL name (legible): ___________________________________________ Student Date of Birth (legible): ____________________________________________ Student grade (circle):
5
6
Gender (circle):
Male
Female
T-Shirt Size (circle):
YS
YM
7
8
YL
YXL
AS
AM
AL
AXL
Parent/guardian name (legible): _____________________________________ Parent/guardian phone (legible): _____________________________________ Parent/guardian email (legible): _____________________________________ I acknowledge and agree to fulfill the above in order for the named student to participate. I understand that failure to fulfill the above and turn in required paperwork in a timely manner may result in restricting the named student’s participation. ____________________________________________________________ Legal parent/guardian signature date 3/25/2017
