Lady Cougars 2011 Basketball Camp

7740 Old U.S. 50, Breese, IL  62230

Phone: 618-526-4578 ext. 220

 

Dates:             Monday, June 13th through Thursday, June 16th.

 

Sessions:       1.   8:00-10:00 a.m.- All girls that will be entering grades 3-8 next year.

      Grades 3-5 will be in the east gym, grades 6-8 are in the west gym.

2.      10:15 a.m.-12:15 p.m.- All girls that will be entering grades 9-12 next year.

 

Camp Staff:   Current Central Cougars Girls Players and the coaching staff.

 

Cost:               The camp will cost $45.00 per camper.

 

 

Camp Features

 

o   Each camper will have an opportunity to win prizes in a variety of competitions.

 

 

 

Lady Cougars Basketball Camp Application

 

Name:___________________ Grade (Fall ’11):__________  Birthdate:_______

 

Address:__________________ City:_________________ Zip: ____________

 

Phone #:__________________ Emergency Phone #:_____________________

 

Parent Name(s)_________________________________________________

 

As the responsible party for the previously mentioned camper, I grant permission for her to attend the Lady Cougars Basketball camp.  I understand that neither Central High School or the Lady Cougars Basketball Camp provide  insurance coverage for any accidental injury sustained by my daughter as a result of her participation in the activities of the camp.  In the event of such an injury I will not hold Central High School or the Lady Cougars Basketball Camp liable.

 

 

                                                                Signed:______________________________

 

 

T-Shirt Size (Circle one):  Childs:  M     L         Adult:  S      M        L          XL

 

Mail application form and check to: 

C.C.H.S. Lady Cougars Basketball Camp, c/0 Nathan Rueter, 7740 Old U.S. 50, Breese, IL  62230

Please make checks payable to: Lady Cougars Basketball Camp