Brochure/registration form

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
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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