6th Annual Xavier Boys Basketball Summer Skills Camp with Coach Klarner , 3rd, 4th, & 5th Grade 12:00 – 2:00 pm 6th & 7th Grade 9:30 – 11:30 am 8th & 9th Grade 12:30 – 2:30 pm (Blue Gym at Xavier) (Torchy Clark Gym) (Torchy Clark Gym) » Passing and Catching » Shooting Fundamentals » Footwork and Finishing » Defensive Basics » Ball Handling » Offensive Movement QUESTIONS? Coach B.J. Braun 920.960.2774 email: [email protected] 2015 and 2016 WIAA STATE FINALIST Name ____________________________________ Grade (2015-16) Grade (2016-17) ________ Address ______________________________________ ________________________________ Phone ________________________________ Cost: $60 S M L RETURN FORM BY JUNE 10, 2016 TO: Matt Klarner, Xavier Boys BB Coach Boys Summer Basketball Camp 1600 W. Prospect Ave. Appleton, WI 54914 XL MEDICAL RELEASE FORM I, ________________________, the parent or legal guardian of _________________ do hereby acknowledge that said student is presently under my care and custody and that I possess the authority to grant permission and authorization stated herein, and the student has no conditions which would prohibit or restrict his (June 22-25, 2015) participation in the Xavier Basketball Camp June 20-23, 2016. I authorize any representative of Xavier to locate qualified medical personnel and/or transfer student to a medical facility should it be deemed necessary. I understand that my insurance company and I will assume all expenses of such treatment. Allergies: _______________________________________ Parent Signature: _________________________________ Make checks payable to Xavier Catholic Schools
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