LEGENDARY HOOPS, INC.
SPRING CO-ED BASKETBALL CLINIC
Legendary Hoops, Inc, presents its Spring
Break CO-ED Basketball Skills Camp at
the Friends School of Baltimore. This
year’s Camp Director is the Friends
School Head Varsity Coach, Al Holley.
Coach Holley brings 16 years of coaching
experience at various levels.
CAMP DETAILS AND CONTACT
INFORMATION:
DATES AND TIMES:
SATURDAYS FROM 04/06 - 06/08
9AM-11AM
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Let us Introduce
The Friends School of Baltimore
Ourselves!
Athletic Center
LOCATION:
5114 N. Charles Street
Baltimore, MD 21210
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$100
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AGES:
Boys and Girls in Grades 2-7
A non-refundable $25 deposit is required to
secure space for session.
Balance due March 1, 2013
Make checks or money orders payable to:
Legendary Hoops, Inc.
Registration Form with and payment should
be mailed to:
Legendary Hoops, Inc/ Spring Break Camp
1311 Londontown Blvd, Ste 120 PMB 131
Eldersburg, MD 21784
Contact us by phone: 443-398-2150 or email @
[email protected]
REGISTRATION FORM:
NAME
BIRTH DATE
SCHOOL AND GRADE
ADDRESS
CITY
STATE
ZIP CODE
HOME PHONE
MOTHER’S NAME
MOTHER’S WORK PHONE
MOTHER’S CELL PHONE
MOTHER’S EMAIL
FATHER’S NAME
FATHER’S WORK PHONE
FATHER’S CELL PHONE
FATHER’S EMAIL
EMERGENCY CONTACT
EMERGENCY NUMBER
PHYSICIAN’S NAME
PHYSICIAN’S PHONE
ALLERGIES
MEDICATIONS
SPECIAL NEEDS
T
LIABILITY WAIVER
The participant’s parent(s)/guardian(s) assumes all
risks associated with participation in the Basketball
Skills Camp; Legendary Hoops, Inc. assumes no
liability for injury or damages arising from
participation in the Camp. Due to the strenuous nature
of some activities, we strongly recommend that you
consult your child’s health care provider prior to
participation in the Camp. The parent(s)/guardian(s)
consent to emergency treatment if necessary. I
understand that I am responsible for my child’s medical
expenses should any arise. I understand that Legendary
Hoops, Inc. is not responsible for children prior to or
after the scheduled program. The parent(s)/guardian(s)
and camper agrees to abide by all camp rules and
regulations
Parent/Guardian Signature________________________
Date:__________