2017 Eastern Eagles
Summer Basketball Camp
2017 Eastern Eagles
Summer Basketball Camp Registration Form
for Grades 1-8
Monday, June 5 through Thursday June 8, 2017
Camper: _______________________________________________
Entering Grade: _________ School: _______________________
Home Address: _________________________________________
City: _______________________ State: _______ Zip __________
Phone: ___________________ Alt Phone:____________________
Email Address: _________________________________________
Parent/Guardian Names:_________________________________
Insurance Company: ____________________________________
Policy Number: _________________________________________
Location: Eastern High School Gymnasium
Time: Daily from 9:00am – 12 noon
(Check-in begins at 8:15am on Monday, June 5)
Come join the Eastern Eagles Boys Basketball coaches and
players for fundamentals and fun! We will focus on
TEACHING the fundamentals of the game, how to play the
RIGHT WAY, and have a great time while doing it! Meet
current and former Eagle players, as well as current and
former college players.
Camp Director: David Henley, Head Coach Eastern High School
29 years of camp experience (8 years of Division 1 College
coaching experience and 20 years of high school coaching
experience, including the 2009 Kentucky State Champions)
Cost: $75.00 pre-registration
$85.00 late registration
*We can “pro-rate” your camp cost if you can’t attend every day
You receive four days of basketball instruction, along with the
official camp t-shirt!
Make Checks payable to: EHS Basketball Boosters
**$75 pre-registration
or
$85 on-site registration
Mail Payment and Registration to: David Henley
Eastern High School Basketball
12400 Old Shelbyville Road
Louisville, KY 40243
Waiver of Liability:
I do hereby release EHS Boosters, Jefferson County Board of
Education/Jefferson County Public Schools, its employees,
sponsors, and volunteers from all liability of any nature for injury
or damage that may occur during or as a result of participation in
the Eastern Eagles Summer Basketball Camp
Parent/Guardian Name (Please Print):
____________________________________Date: ________________
Signature:
__________________________________________________________
PLEASE COMPLETE AND RETURN THE
ENTIRE REGISTRATION FORM!
Contact: [email protected]
Phone: 502-485-8243