2016 Boys Basketball Summer Camp (Sponsored by Suffern Boys Basketball Booster Club – a nonprofit organization) DATES: Monday, June 27, 2016 – Thursday, June 30, 2016 TIME: 9:00am – 3:00pm WHERE: Suffern High School th th CAMPERS: Offered to students entering 5 – 10 grades in September, 2016 CAMP FEE: $160.00 ($150 per camper for multiple campers) - Registration must be postmarked no later than June 15, 2016 LATE FEE: Add $25.00 if postmarked after June 15, 2016 (Payment $185.00 if after June 15, 2016) OBJECTIVE: The focus of the Suffern Boys Basketball Camp is to offer an opportunity to focus on the fundamentals of basketball. Campers will be instructed using group methods and team orientation. Games will be played to reinforce drills, lectures and demonstrations. Skill development using instructional stations such as ball handling, shooting, rebounding, defense and other fundamentals will be part of the daily schedule. In addition, free throw, three point shooting and one-on-one contests will be held throughout the course of the week. CAMP POLICIES: • No refunds will be given to campers who voluntarily leave camp or who are sent home for disciplinary reasons • Campers must provide their own lunch and drinks • Complete application and statement of health below with parent/guardian signature • Campers should dress appropriately: shorts, t-shirt, socks, sneakers Please make checks payable to: Suffern Boys Basketball Booster Club and remit payment along with signed application to: Rochelle McNally, 437 Genesee Court, Suffern, NY 10901

2016 BOYS BASKETBALL CAMP APPLICATION Camper T-Shirt Size:

Please Indicate Below:

Youth (M)o

Youth (L) o

Adult (S) o

Grade in Sept. ‘16: __________

Adult (M) o

Adult (L) o

Adult (XL) o

Address _____________________________________ City/St __________ Zip _________ Home Phone: _____________________ Alt. Phone: ________________________________ Name of Parent/Guardian_________________________ Day/work phone: _______________ Email addresses: ___________________________ Alt Email:_______________________________ Emergency Contact: _________________________

Phone(s):__________________________

I understand our family will provide insurance coverage if our son is injured while participating in the Boys Basketball Camp and agree to indemnify RCSD, its BOE, employees and agents for any claim as a result of injury. In addition, I hereby state that my son is in good health and may participate in the Boys Basketball Camp. Please list any health issues/allergies or special circumstances: Print Parent/Guardian Name: Parent/guardian signature: Date: _______________ *Please note: The 2016 Boys Basketball Camp is sponsored wholly by the Suffern Boys Basketball Booster Club and is not staffed or subsidized by the Ramapo Central School District.