2016 Kamiakin Summer Girls Basketball Camp - Kamiakin High School

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To Register: Contact Lane Schumacher at. [email protected], sign-ups allowed at the door. (shirt can't be ... Gr
2016 Kamiakin Summer Girls Basketball Camp

When: June 29th and 30th Entering Grades 3rd - 5th 9:30 am – 11:00 am Entering Grades 6th - 8th 11:00 am -12:30 pm Cost: $45 and includes a t-shirt (checks payable to: KaHS Booster Club) If two or more from same family; rate is $35 each Location: Kamiakin High School To Register: Contact Lane Schumacher at [email protected], sign-ups allowed at the door (shirt can’t be guaranteed at that time). Check and form can also be Sent to: Lane Schumacher Kamiakin High School 600 N. Arthur Kennewick WA 99336

Campers Name_____________________________ T-Shirt Size: (circle one): Youth S M L ; Adult S M L XL XXL Grade Entering ____ Phone Number ________________ Email Address_______________________________________________ Emergency Contact # ___________________________________ I agree to be solely responsible for any medical expenses incurred by me child in this activity. In consideration of the fee charged for this program, I agree to hold the Kennewick School district and/or Kamiakin Booster Club, any employee or volunteer involved in the program, harmless from, and indemnify them for, any damage or loss arising as a result of my child’s participation in this activity. I give permission to have my photo or photo of my child(ren) taken during this camp used for publicity purposes by Kamiakin High School and its booster club.

Parent Signature: _________________________________________________ Date:_____________