2019 Lil’ Cardinal Basketball Camp

2019 Lil’ Cardinal
Basketball Camp
Grades: 4th-7th Girls & Boys
Dates: Sept 30th-Oct 2nd
Time: 3:30pm-5:00pm
Location: CIS Gym
Cost: $20 Includes T-Shirt
Sibling Discount: If both are
participating the cost will be $15 each. _______________________________________________________
PLEASE RETURN THIS PORTION TO YOUR CHILDS OFFICE BY SEPTEMBER, 2OTH 2019
**T-SHIRT GUARANTEED IF SUBMITTED BY DEADLINE**
Participant Information:
Player 1 Name:_______________________________ Current Grade: 4th 5th 6th 7th Player 2 Name:_______________________________ Current Grade: 4th 5th 6th 7th Player 3 Name:_______________________________ Current Grade: 4th 5th 6th 7th Parent(s) Name:____________________________________ Phone Number:___________________
In Case of Emergency, Contact:________________________ Phone Number:___________________
Shirt Size: (Please Circle) YS YM YL S M L XL
I hereby authorize the coaches of the Clinton Basketball programs to act for me and my camper in
using their best judgment in an emergency requiring medical attention; I hereby waive and release
the Clinton School District and coaches from any and all liability for injuries while at the camp. _____________________________________ __________________ Parent/Guardian Signature Date

 

FOR MORE INFORMATION, CONTACT:
Head Girls Coach:
David Rogers
660-885-2237 Ext 2215
Email: drogers@clintoncardinals.org
Head Boys Coach:
Kevin Carr
660-885-2237 Ext 2221 kcarr@clintoncardinals.org