Paschal High School
Boys Basketball
Attn: Matt Shabay
3001 Forest Park Blvd
Ft Worth, TX 76110
XXL
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Please mail to: Paschal Basketball - Attn: Matt Shabay
3001 Forest Park Blvd, Fort Worth TX 76110
~Fill out both sides of form~
Please send Registration to:
*Make Checks Payable to Paschal Basketball Camp Enclosed Check # __________ Amount of Check: ______________
12:30 Dismissal of Campers
Med.
11:00 – 12:30 Game Time
Campers will be divided up into teams and will
play games throughout the week, tournament style.
Adult Sm.
9:45 – 11:00 Competition Drills
Campers will participate in competition drills
including Hot Shot, Knock Out, Dribble Tag, Free
Throw, and 3 Point Shoot Outs.
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Camp Pre- Registrations: Pre-registrations are
due by Thursday, June 1st. We strongly
encourage all parents to pre-register their son(s)
as early as possible. All fees are 100%
refundable if your child is unable to attend.
Walk up campers are more than welcome.
Shirt Size: Youth Med.
Camp Questions: Email Matt Shabay at
[email protected]
8:45 – 9:45 Station Drills
Campers will be taught different fundamentals at
each station which include ball handling, passing,
form shooting, defensive footwork and more.
Parent e-mail address : _____________________________________________________________________________
FEES: $100.00
8:30 – 8:45 Camp Begins
Coach Shabay will welcome campers, discuss the
day’s agenda, and lead them in “mass” drills.
Grade for 2017-2018 School Year: ___________ Sex: __________________ Date of Birth: ____________________
CAMP EXTRAS: PRE-REGISTERED
campers will receive a camp T-shirt and
Basketball
City: _____________ Zip: _________ Primary Cell Phone: ______________Emergency Phone #:_________________
AGES: Incoming 3rd – 9th graders for the
2017-18 school year
8:00 – 8:30 Arrival of Campers/Supervised
Shooting
This time is used for parents who go to work early
to drop off campers and for any campers to get
some extra one-on-one assistance from a staff
member
Address: ________________________________________________________________ Apt # __________________
TIME: 8:30am – 12:30pm
Name of Camper: ________________________________ Name of Parent: __________________________________
DATE: Mon. June 12th – Thurs. June 15th
BOYS’ CAMP SCHEDULE:
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PASCHAL HOOPS CAMP APPLICATION
PLACE: Paschal High School Gymnasiums
Matt Shabay–Camp Coordinator.
Coach Shabay is the head boys’
basketball coach at Paschal High
School. He has been coaching
basketball since 2003. He is married
with two children, Noey and Anna
Kate.
Cory Carroll – Varsity Assistant.
Coach Carroll has been coaching for 8
years with the last 3 at Paschal High
School. Coach Carroll is a graduate
of BYU and is married with two
children, Sheppard and Evelyn.
Parent’s Signature
Date
___________________________________________________ ____________________________________
I hereby grant my permission for my child to attend the Paschal Hoops Camp. I certify that he/she is physically fit for all camp activities, and in case of injury,
illness, or accident he/she may be treated by a licensed physician. I release Fort Worth ISD, all staff, and employees associated herewith from any liability and financial
responsibility for personal injury arising during applicant’s participation in the Basketball Camp.
In case of emergency contact: __________________________________ Phone: ___________________________
Policy Number: _______________________________________________________________________________
Name of Insurance Company: ___________________________________________________________________
Name of policy holder: _________________________________________________________________________
Physician: _________________________________________________ Phone: ___________________________
Any medical conditions or medications we should be aware of: _________________________________________
____________________________________________________________________________________________
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Other Camp Staff Members
Include – Former Paschal Panther
basketball players
Camp Dates: June 12-15, 2017
• Camp T-Shirt
• Camp Basketball
• Varsity Basketball Drills
• Tournament Play
Chuck Summers – Varsity Assistant.
Coach Summers currently coaches the
JV boys’ basketball team and is a
teacher at Paschal. This is his 2nd year
at Paschal and his 15th year overall.
Coach Summers has two daughters,
Emmy and Ava.
2017
2017 PASCHAL HOOPS CAMP STAFF