Summer 2017 Boys Basketball Camp
Greenwood High School
Who:
Any boy entering grades 1st – 6th
When:
Where:
Tuesday, May 30th thru Friday, June 2nd from 3:00 – 5:00 PM
Greenwood High School Fieldhouse Courts 1,2, 3
Cost:
$30 per player. Includes camp t shirt.
Check payable to Woodmen Basketball c/o Greenwood Athletic Dept.
Contact:
Joe Bradburn - [email protected]
-----------------------------------------------------Registration Form
Player’s name: _________________________________________________
Grade for Fall of 2017: __________
Parent /Guardian: ______________________________________________
Cell:_________________________
Preferred Email for Parent / Guardian: ______________________________________________________________
Circle T-shirt size: youth small - youth medium - youth large - adult small – adult medium - adult large - adult XL
Liability Waiver: I consent for my child/ward named ________________________________ to participate in the
Greenwood boys Basketball Camp and acknowledge the risk of injury, permanent disability, or even death. I
myself, my spouse, my child, personal representatives and next of kin hereby release and hold harmless
Greenwood Community Schools, its staff, coaches, and students with respect to any and all injury, disability, death,
or loss of property. I have read this release of liability and assumption of risk agreement and fully understand its
terms. I sign this liability waiver freely and voluntarily.
______________________________________ _____________________________________ ________________
(PARENT / GUARDIAN SIGNATURE
PRINTED NAME
DATE
Mail form to this address:
Greenwood High School c/o Joe Bradburn
Woodmen Basketball Camp
615 West Smith Valley Road
Greenwood, Indiana 46143