HEALTH INSURANCE.
Co. __________________________
Arlington High School
5475 Airline Rd.
Arlington, TN 38002
I understand that I will provide accident, health,
and personal insurance should my daughter be
injured while participating in the Arlington High
School basketball camp. My daughter has a valid
and current physical form.
2016
Arlington Girls
Basketball Camp
Policy #_______________________
Policy Period___________________
Agent Name___________________
Family Doctor_________________
Phone________________________
I hereby state that my child is in good
physical health and may participate in the
Arlington Basketball Camp. In case of an
emergency, I will allow my child to be
treated in the hospital emergency room and
will not hold the coaches, the school, or
Arlington Community schools responsible.
_________________________________
Print name of guardian(s)
_________________________________
Sign name of guardian(s)
_________________________________
Date
Please note any other medical problems.
For girls entering
2nd-9th grade.
Girls Camp:
May 31-June 3
9am-12
At Arlington High School
5475 Airline Road
Arlington, TN 38002
For information call
Head Coach
Wes Shappley
901-233-9723
Arlington
Basketball Camp
Typical Camp Day
9 am
Roll call/warm-up
Camp Philosophy
9:30
Basic skills/ Stations
Our camp is designed to provide each camper
with basic basketball fundamentals, through
the use of games, drills and contests, while
promoting the enjoyment of basketball. We
hope that each camper will leave our camp
with a good feeling about themselves and
Arlington High School, while improving their
own basketball skills.
10:30
Game
11:00
Shooting
11:30
Competition
12:00
Dismissal
Cost
$70 Cash or check payable to Arlington
Rebounders. Included in the cost is an AHS
camp shirt. If registering early, please fill out
the application and send it in with payment to
Arlington High School.
Cancellations/Refunds
Campers that leave during the week because of
illness or injury will receive a pro rated refund,
no refunds will be given to campers that leave
voluntarily or for disciplinary reasons.
Checks made payable to Arlington Rebounders Club
For more information call (901) 233-9723
Registration deadline by mail is May 24
Walk-up registration will be Tuesday May 31
beginning at 8:30am.
2016 Arlington Basketball Camp
For any girl entering
2nd through 9th grade.
Camp Staff
Head Coach Wes Shappley, Assistant Coaches
Tiffany Roberson and Brendan Harvey will
instruct, demonstrate, and lecture during the
week.
To register, fill out the form below and mail to:
ATTN: Wes Shappley Head Girls Basketball Coach
Arlington High School
5475 Airline Road
Arlington, TN 38002
Campers Name__________________________
Address__________________________________
What to wear:
Each camper should wear an appropriate
outfit; shorts, t-shirts, sock, and basketball
shoes.
Camp Store
There will be a camp store, which will have
drinks and snacks available for purchase.
Arlington Community Schools offers
educational and employment opportunities
without regard to race, color, national origin,
religion, gender, or disability.
City_____________ State________ Zip______
Phone____________________ Cell__________
Fall Grade 2016_____________ age ______
Parent Name_____________________________
Parent signature___________________________
Work Phone_____________ Cell___________
Parent Email:____________________________
Emergency Contact_______________________
Emergency Number_______________________
T-Shirt size: YS YM YL AS AM AL AXL
Circle one