UNIVERSITY OF SIOUX FALLS WOMEN’S BASKETBALL TEAM CAMP June 29th and/or July 19th, 2016 TEAM (HIGH SCHOOL) NAME ___________________________________________________ HEAD COACH/COACHES_________________________ _______________________________ ADDRESS __________________________CITY _____________STATE ______ZIP __________ PHONE/CONTACT NUMBER________________________________ LEVEL: VARSITY JV TEAM ROSTER NAME GRADE AGE T-SHIRT SIZE 1. _________________________________________________________________________ 2. _________________________________________________________________________ 3. _________________________________________________________________________ 4. _________________________________________________________________________ 5. _________________________________________________________________________ 6. _________________________________________________________________________ 7. _________________________________________________________________________ 8. _________________________________________________________________________ 9. _________________________________________________________________________ 10. _________________________________________________________________________ THIS TEAM IS: (CIRCLE ONE) STRONG 1 AVERAGE 2 THIS TEAM IS ATTENDING CAMP ON: (CIRCLE ONE) JUNE 29, 2016 3 WEAK 4 5 JULY 19, 2016 TEAM PERMISSION AND RELEASE: We release the University of Sioux Falls and all of their Camp Coaches from all claims of injuries and lost or stolen property which may occur while participating in the USF Girls Basketball Team Camp 2016. I also verify that all information is correct and accurate. COACH'S SIGNATURE ________________________________________ DATE __________________ Please return the registration form and entry fee ($225) payable to: University of Sioux Falls Women’s Basketball 1101 West 22nd Street Stewart Center-Women’s Basketball Sioux Falls, SD 57105 _________________________________________________________________________ *Questions contact: Shawn Bergan (605)-929-9432 Kayla Tetschlag (605)-575-2087
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