Summer Camp 2013
Beacon Basketball Bonanza for girls entering grades 4-12
Monday - Friday, June 17-20, 2013
Students entering grades 4-8 – 9:00 am – 12:00 noon
Students entering grades 9-12 – 1:00 – 4:00 pm
Concordia Academy Upper and Lower Gyms
Grades 4-8: $100 per camper/includes t-shirt
Grades 9-12: $100 per camper/includes t-shirt
Registration and fee due by June 10, 2013
Make checks payable to Concordia Academy
Registration should be sent to:
3801 45th Ave. South
Minneapolis, MN 55406
Walk-ins are welcome!
Head Coach Amy Bellus and CA players.
If you have questions please contact Amy Bellus at email@example.com or 612-724-8529.
Bring your own water bottle and towel and dress comfortably in T-shirt, loose shorts, court shoes; arrive 15 minutes early to warm up before each session.
(List specific camp title as some sports have more than one camp)
Shirt Size (Adult)
Please list your experience in this sport.
You may include years played, leagues, positions played,
Full payment should accompany this application form. Make checks payable to Concordia Academy and mail with registration to:
Concordia Academy 2400 North Dale St. Roseville, MN 55113
** Please specify camp name on the envelope.
We agree that on behalf of the enrolled student named on this registration form, Concordia Academy and/or staff, coaches or employees will not be held responsible for any injury, accident or loss of property, however caused. It is further agreed that all risks involved in participation in this camp are assumed by the student and parent or guardian, who is also responsible for the medical fitness of the enrollee and for all medical costs incurred in case of injury while in attendance at a Concordia Academy camp.
Parent/Guardian Signature Date
(Please make additional copies of this registration form to register for more than one camp.)