Christopher Columbus Day Basketball Camp

Christopher Columbus Day Basketball Camp (Co-Ed Camp)
Monday, October 13, 2014

Grades K-9 Boys & Girls
1. Morning Session 8:30AM- 12:00PM ------------------------------------------------- $20
2. Evening Session 1:00PM-4:30PM ----------------------------------------------------- $20
3. All Day (no lunch)-------------------------------------------------------------------------- $30
4. All Day (Includes Lunch (Pizza/snack/and 20oz gatorade)----------------------- $35
Experienced Certified Coaches on staff to work with campers. They will participate in skills and drills from 8:30 – 11:00 then play a game from 11:00 – 12:00. Lunch will be from 12:00 – 1:00. The afternoon session will follow same format. Skills & drills 1:00 – 3:30 then play a game from 3:30 – 4:30.

***Discounts for All Day Campers: $5 discount for EITHER The Gym's Fall League registered players OR $5 discount to Humble ISD employees with property identification.....$5 sibling discount
Athlete's Name

First NameLast Name
Amount Due

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Morning, Evening, or All Day
Birth Date

MonthDayYear
Grade for 2014 / 2015
Address

Street Address

Street Address Line 2

CityState / Province

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Parent(s) Email Addresses separated by semicolon
Male Parent / Guardian*
Male Parent / Guardian #

Area CodePhone Number
Female Parent / Guardian
Female Parent / Guardian #

Area CodePhone Number
Emergency Person Name
Emergency Contact Number

Area CodePhone Number
By continuing with this registration, I attest that I am a parent / legal guardian of the player named above, hereby agrees to hold Kiwi Properties, The GYM, the officers, and directors, employees and coaches faultless in the event of injury or other harm occurring to the player during the participation in all events. Parent/guardian assures the play that adequate medical insurance is available and if necessary will be responsible for any medical expenses.
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Christopher Columbus Day Basketball Camp (Co-Ed Camp)