Shooting Stars

The Camp includes T-shirt, daily contests, prizes, and guest speakers.

Basketball Camp

Make Checks Payable to: GC Boy’s XC

Featuring:

Send Registration to: P.O. Box 369 Greensburg, KY 42743

Former Kentucky Wildcat & Mr. Basketball

Any Medical History relevant to camp __________________________________ __________________________________ __________________________________ __________________________________

Brandon Stockton

For more information please call Angelina Alcott 270-405-0570 Will Hodges 270-932-6601

Insurance Information: _________________

Parents Name, Address, Phone Number

____________________________________

___________________________________

____________________________________

Open to Boys and Girls

____________________________________

I agree my child is able to participate in the Shooting Stars Basketball camp May 23rd-25th, 2017. I hereby release, forever discharge and agree to hold harmless Brandon Stockton, the Green County School District, Green County Cross Country team and all members, The Green County Board of Education, its directors and employees, and anyone working the camp from all claims or liabilities of any kind relating to this participant arising out of this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. Furthermore, I hereby assume all risk of personal injury, sickness, death, damage and expense to this participant as a result of participation in said event.

rd

th

th

Date: May 23 , 24 , & 25 Grades: rd th 3 , 4 , 5th 9-12pm CST

6th, 7th, 8th

1-4pm CST

Place: GC Middle School 106 Brummal Ave. Greensburg, KY 42743

Cost: $75 per Camper

____________________________________ ____________________________________

Camper Info: Name:_____________________________ AGE:_______ Grade:_______

T-shirt Size___________ Position__________

Registration Deadline: May 19th 2017

Parent Signature:__________________________ Date:____________________________________

SHOOTING STARS basketball camp reg.pdf

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