RED DEVIL SUMMER

BASKETBALL CAMP

2^nd-8th Boys

June 4-7, 9am-12

$50

Make checks to: Jeff Boys Basketball Boosters

- All campers will report to Jeffersonville High School’s main gym.

We will work on how to:

Pass                             Dribble                       Catch

Shoot                          Rebound                    Handle the ball

Defend                        Move the feet            Pivot

Screen                         Hop Stop

CHILD’S INFORMATION

FIRST (print):      _____________________

LAST (print):        ______________________

GRADE (next year):             _________________

T-Shirt Size:  YS   YM   YL   S   M   L  XL   XXL 

PARENT / GUARDIAN INFORMATION

(PLEASE PRINT)

MR.  MS. or MRS.  _________________________________

ADDRESS:  ________________________________________

CITY:  ______________________  ZIP:  ________________

Phone :  _____________________________________

Emergency Number :  _________________________

Email Address: ________________________________

Name of family doctor and telephone number

I hereby give my daughter/son permission to take part in the basketball camp. I will not hold Coach Gilbert, camp staff, or the Greater Clark County School Corporation liable for any injury that might occur, lost, or stolen property, and I have adequate

health insurance to cover any such occurrences.

(signature of parent/guardian)

All campers will receive a t-shirt. Email any questions to Coach Austin at aaustin@gcs.k12.in.us

Register at the door or send form and money to:    Coach Austin                          

                                                 2315 Allison Lane

                                                 Jeffersonville, IN 47130