please complete the registration and release
forms and send them with your payment to:
LM Hershey Campus
Attn: Eric Hollinger
1525 Sand Hill Road
Hummelstown, PA 17036
For additional information, please contact:
Mr. Eric Hollinger - AD
LM Hershey Campus
[email protected]
717.533.4900
Basketball
Camp
Hershey Campus
BOOSTER CLUB
Lancaster Mennonite
Hershey Campus
July 24-27, 2017
LM
Hummelstown, PA
Parent/Guardian Signature: _____________________________________________ Date: _______________
behalf of the registrant, as a result of the registrant’s participation in the program.
facilities and equipment utilized for the program, against a claim (including medical claims) by or on
Booster Club, coaches, officers of the Booster Club and associated personnel, including owners of the
activities, I hereby release, discharge and/or otherwise indemnify Lancaster Mennonite and the
consideration for the HC Blazer Youth Basketball camp accepting the registrant for its programs and
Booster Club. Recognizing the possibility of physical injury associated with soccer, and in
the rules of the HC Blazer Youth Basketball Summer Camp and its sponsor, the LM Hershey Campus
I, the parent/guardian of the registrant, a minor, agree that the registrant and I will abide by
Release Statement
LM Hershey Campus Blazer
Basketball Camp,
LM
Hershey
Campus
To be part of the
About the Camp
Contests such as one on one games, hot
shot, dribble tag, and free throw shooting.

A fun environment to learn more about
basketball, hang out with friends and get
quality coaching tips
Registration Due Date: July 14th
COST:
1st camper per family = $100.00
2 or more campers per family = $75.00
each
Camp fee includes a Blazer Basketball
t-shirt and a basketball to take home!!
Make checks payable to:
Lancaster Mennonite School
Please indicate any health problems or restrictions:

Approximate T-shirt size (circle one): Child L Adult S Adult M Adult L
LM—Hershey Campus
League games consisting of “NBA” and
“NCAA” divisions. Players participate in at
least two games per day and are coached by
Blazer Varsity Players
Phone _________________________ Cell Phone ______________________ Email _____________________________________
Athletic Director

Address _____________________________________________________ City ______________________ Zip ________________
Eric Hollinger
Rotation through a series of instructional
stations covering the fundamentals of
basketball. Players are drilled in ball
handling, passing, shooting form, defensive
positioning, rebounding, post play, and
perimeter skills.
Parents/Guardians _________________________________________________________________________________________
GO BLAZERS!

School Student Attends ____________________________________________________________
I am so proud to host this annual
basketball camp at the Hershey Campus of
Lancaster Mennonite School. Let’s keep the
great basketball tradition at the Hershey
Campus going by working hard to make our
future teams successful.
A typical day includes
Players Name_________________________________ Date of Birth ________________ Grade 2017-2018 _________
We expect our campers to have a
positive attitude and work hard all week
long. Campers will be learning new skills
each day so it will be important for them to
sprint everywhere and listen carefully to
their coaches and instructors.
The camp runs from Monday thru Thursday.
Each Session begins at 8:30 AM and concludes
at 11:30 AM.
Registration Form
The coaches and players of LM Hershey Campus Basketball are excited to be
hosting our 5th annual Youth Basketball
Summer Camp. (Camp is open to all players
entering grades 3-8 for the 2017-2018
school year.) The week will include a blend
of instruction and competition: allowing our
future players and others to hone their
skills, enjoy time with friends and experience what it takes to become a successful
basketball player.
Camp Schedule