One-Day Basketball
Camp
For all 1st thru 6th grade boys and girls
Saturday, August 16
from 8am-4pm
Rolling Ridge Elementary School Gym
Cost: $25
BRING A FRIEND!
FEATURING: INDIVIDUAL SKILLS TEACHING - CHARACTER BUILDING MESSAGES - BALL HANDLING, - SHOT TECHNIQUES, SPEED DRILLS – MICRO-TEAM SCRIMMAGES – AND LOTS OF FUN!!!
One-day basketball camp is sponsored by
Christian Fellowship Church Local
Outreach Department in partnership with
Rolling Ridge Elementary School and the
CFC Men’s Basketball League.
www.cfellowshipc.org/local
Questions? – Please contact Mike Trivett, Director of Local Outreach, Christian Fellowship
Church at [email protected] or 703-724-4907. www.cfellowshipc.org/local
Participants must be entering 1st thru 6th grade children (Fall 2014). Camp will go from 8am-4pm on Saturday, August 16th
[breakfast will be served at 7:30am] Cost $25.00 per child (which includes, skill-building drills, t-shirt, breakfast, snack, and lunch.)
(Financial Assistance is available upon request) Multiple same family member discount is available and goes as follows: 1st
camper: $25; 2nd camper: $15; 3rd camper: $10; 4th camper: Free. Each participant will receive quality basketball skill-building, a
camp t-shirt, breakfast, snack, and lunch. Parents are invited to attend the closing ceremony at 3:15pm (time subject to change).
Please use one form per family to get signed up.
Send or bring your registration form along with payment by no later than Wednesday, August 6th!
Make checks payable to “CFC” and write in the memo “BBALL CAMP” TO: Christian Fellowship Church - 21673 Beaumeade Circle
Ashburn, VA 20147 (Attention: RR Basketball Camp or Mike Trivett)
Name of Child: __________________________ Age: _____ Grade Entering this Fall 2014: (Circle one) 1st 2nd 3rd 4th 5th 6th
Shirt Size (Circle One): YS YM YL YXL AM AL AXL Street Address: _________________________ City: _________________
Zip Code: _________ Gender: __ M __ F Name of Parents/Guardian: ______________________________________
Email Address: _________________________ Home Phone: _________________ Cell Phone: __________________
School enrolled in for the Fall 2014: ______________________________________
Allergies (including food) or other conditions which may limit activity: ____________________________________________
**Please note: If allergy is very severe your child will need to bring their own snacks and lunch.
Any Medical Conditions of the child listed above: _____________________________________________________________
Any Medications the child is currently taking on a regular basis: __________________________
Camp Waiver: I understand that in signing this form, I release and hold harmless Rolling Ridge Elementary School and Christian Fellowship Church, its trustees, officers, employees,
Camp Directors and staff, and any volunteers from any liability, past or future, fully and completely. I authorize your employees, volunteers, executive staff and/or designated
medical professionals to administer emergency medical assistance.
Parents/Guardian Signature: ______________ Date: _____________
Basketball
Please use this section for any additional children you are registering of the same family:
Child’s Name: _____________________ Age: _____ Gender: __ M __ F Shirt Size(Circle One): YS YM YL YXL AM AL AXL
Grade Entering this Fall 2014: Circle one) 1st 2nd 3rd 4th 5th 6th
Allergies (including food) or other conditions which may limit activity: ____________________________________________
Campamento de
Baloncesto
Para todos los niños y niñas del 1 al 6 grado
Sábado, Agosto 16
de 8am-4pm
Rolling Ridge Elementary Gimnasio
Costo: $25
TRAIGA A UN AMIGO!
PRESENTANDO: - TÉCNICAS INDIVIDUALES- CREAR CARÁCTER-MANEJO DE PELOTA – TÉCNICAS DE TIRO, - PRACTICA DE
VELOCIDAD – PRACTICAS EN EQUIPO – Y MUCHA DIVERSIÓN!!!
Campamento de un día de baloncesto es
auspiciado por Christian Fellowship
Church Local Outreach Department con
asociación con la Escuela de Rolling
Ridge y la Liga de Baloncesto Masculino
de CFC . www.cfellowshipc.org/local
Preguntas? – Por favor contactarse con Mike Trivett, Director de Local Outreach,
Christian Fellowship Church al [email protected] or 703-724-4907.
Participantes deben estar entrando al 1er a 6to grado (otoño 2014). Campamento será de 8am a 4pm el sábado, 16 de
agosto. [Serviremos desayuno a las 7:30am] Costo $25.00 por niño (incluye , practicas y técnicas, camiseta, desayuno, merienda,
y almuerzo.) (Asistencia económica esta disponible bajo petición) Hay descuento familiar (hermanos) y es la siguiente: 1er
niño: $25; 2do niño: $15; 3er niño: $10; 4to niño: gratis. Cada participante recibirá técnicas de baloncesto, una camiseta del
campamento, desayuno, merienda y almuerzo. Los padres están invitados a asistir a la ceremonia de clausura a las 3:15 (hora
sujeta a cambios).
Utilice un formulario por familia para inscribirse. Enviar o traer su formulario de inscripción junto con el pago no más tarde del
miercoles, 6 de agosto! Haga cheques a nombre de “CFC” e incluya en el memo “BBALL CAMP” A:
Christian Fellowship Church - 21673 Beaumeade Circle - Ashburn, VA 20147 (Attention: RR Basketball Camp o Mike Trivett)
Nombre de niño: ______________________ Edad: _______ Grado en este Otoño 2014: (Marque uno) 1st 2nd 3rd 4th 5th 6th
Talla (Marque uno): YS YM YL YXL AM AL AXL Dirección: ___________________________ Ciudad: ________________
Zip code: _______ Sexo: __ M __ F Nombre Padre/Tutor: _______________________ Email _________________________
Telf Casa: _________________ Telf Celular: _________________ Escuela a atender en Otoño 2014: ________________
Alergias (incluya comida) u otras condiciones que limiten actividad: ______________________________________________
** Nota: Si la alergia es muy severa su niño necesitará traer sus propios bocadillos y almuerzo.
Cualquier condición médica del niño : ______________Todos los medicamentos que el niño está tomando actualmente de forma regular: _______________
Renuncia de campamento: Entiendo que al firmar este formulario, absuelvo de sostener culpable a Rolling Ridge Elementary y Christian
Fellowship Church, su Patronato, oficiales, empleados, directores de campamentos y personal y los voluntarios de cualquier responsabilidad,
pasado o futuro, totalmente y completamente. Autorizo a sus empleados, voluntarios, personal ejecutivo y/o designado profesionales
médicos de administrar asistencia médica en caso de emergencia.
Firma de Padre o Tutor: ______________________ Fecha: _____________
Baloncesto
Utilice esta sección para inscribir niños adicionales que se registran bajo la misma familia:
Nombre de niño: ____________________Edad: _____ Grado en este Otoño 2014: (Marque uno) 1st 2nd 3rd 4th 5th 6th
Talla (Marque uno): YS YM YL YXL AM AL AXL
Alergias (incluya comida) u otras condiciones que limiten actividad:_______________________________________________