Kirksville Girls Basketball Camp

June 11-13 at the Kirksville Primary school.
For girls entering 2nd-12th grade.
$50/ per camper and each camper will receive a t-shirt
 
Times:
 
Grades 2-5: 5:30-7:30pm
Grades 6-8: 1-3:30pm
Grades 9-12: 9am-12pM
 
Camp forms are available on the school district website to print off.
 
Please return to Coach Williams at the High school address.
 
 
_____________________________________________________            ___________              ____________________________________

Player's Name                                                                                                         Player's                          Player's Phone Number

                                                                                                                     Grade

_____________________________________________________                          ____________________________________

Parent Name                                                                                            Parent Phone Number

_____________________________________________________                          

Address                                                                                                      T-Shirt Size:           S      M      L      XL

 I hereby request that my child be admitted to the Kirksville High School girl's basketball camp. I hereby authorize and direct the staff to exercise and act in their best judgment in the event of a medical emergency regarding my child. I also hereby confirm that my child is covered by accident and/or health insurance, which provides coverage for any injury. I agree to indemnify and hold harmless Sara Williams, the camp staff, Kirksville School District and its agents and employees, from and liability or action arising from or related to my child's enrollment and/ or participation in the camp.

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