Boys Basketball Camp Registration Form 2017

204 E. Muskegon Cedar Springs, MI 49319
616-696-7320
www.csaparksandrec.com
OFFERS
Boys Basketball Camp with
CSHS Boys Basketball Coach Jeff Patin
Your child will work with Cedar Springs High School boys basketball coaches to help improve as an offensive
player. There will be a focus on ball-handling, scoring off the dribble, shooting, passing, and post moves. Each player
will leave camp with a set of drills that they can take with them to improve their game on their own. Each player will
also receive a t-shirt at the conclusion of camp.
WHEN:
MONDAY-THURSDAY JUNE 19-22
6th-9th Grades
3rd-5th Grades
10:00am-Noon
8:30am-10:00am
(Based on students grade in the next school year of 2017-18)
WHERE:
CEDAR SPRINGS HIGH SCHOOL GYM
COST:
$ 45.00 FOR 3RD-5TH GRADES BEFORE MAY 24th , 2017
$ 55.00 FOR 6TH-9TH GRADES BEFORE MAY 24th , 2017
ADDITIONAL $5 IF PAID AFTER MAY 24th, 2017
CHECKS CAN BE MADE PAYABLE TO “CSAPR” OR YOU CAN PAY ONLINE WITH CREDIT CARD
FOR SMALL FEE AT https://client.pointandpay.net/web/CedarSpringsAreaParksandRecreationMI
Participant’s Name: ___________________________________________________ GRADE (2017-2018):_______
Parent’s Name:____________________________________Circle Shirt Size: YS
YM
YL
AS
AM
AL
Address: __________________________________________________City & Zip____________________________
Phone:________________________________ Name of township/city of residence:_______________________
E-Mail Address: _______________________________________________________
-I am aware of the possibility of injuries that exist with the participation in all recreational programs. I understand the Cedar Springs Area Parks
& Recreation Dept., Cedar Springs Public Schools, and the instructors are NOT responsible for injuries that may occur during camps, clinics, and
programs or for personal items brought to the programs.
-I authorize, without compensation, that any images of the participant taken during this program to be deemed the exclusive property of CSAPR
and free for use in marketing, social media or any other publication connected with CSAPR.
***ALL PARTICIPANTS NEED TO HAVE A CONCUSSION FORM ON FILE WITH CSAPR BEFORE PARTICIPATING***
Parent’s signature:________________________________________ Date:_______________
BOYS BASKETBALL CAMP
SUMMER 2017
OFFICE USE ONLY
CASH CHECK # ____
CREDIT CARD