Name of church you attend (if any):
Any experience in organized basketball?
YES # yrs______
NO______
Allergies/ Special Needs:
Parental/ Guardian Authorization
I hereby authorize the directors of Castro Valley First Baptist Church
to act for me according to their best judgment in any emergency
requiring medical attention. I know of no mental or physical
problems which may affect my child’s ability to safely participate
in this camp. I understand that Castro Valley First Baptist Church
will not be held liable or responsible for any injury or accident that
is sustained by my child prior to, during, or after participation in this
voluntary activity. I realize I must have my own medical insurance
coverage and will be responsible for any medical or other charges
in connection with my child’s attendance at camp. I have read,
understood, and agree with these conditions of this registration.
Signature:Date:
Printed Name:
Medical Insurance:
Policy Number: Please make checks payable to “CV First” and return to the
church office:
Summer Basketball / CV First
18550 Redwood Road
Castro Valley, CA 94546
Office use only
Payment Rec’d:
Date:
Cash
Check #
CV FIRST
HOOPS
BASKETBALL CAMP
Castro Valley First Baptist Church
Summer
Basketball Camp
9:00 am to 12:00 noon
Session I July 13 - 17 / Entering 2nd or 3rd Grade
Session II July 20 - 24 / Entering 4th or 5th Grade
18550 Redwood Road • Castro Valley, CA 94546 •
(510)582-0515 • FAX (510)582-1827 • www.cvfirst.org
Castro Valley First Baptist Church
2015 Summer Basketball Camp
Registration
Please Print Legibly
Camper:
Address:
Join us for a week of “ballin” and learn the fundamentals of
basketball and the Christian life.
Campers will learn the basics:
Footwork, Dribbling, Passing, Shooting, Teamwork,
Patience, Integrity, Sportsmanship, Humility, Best Effort, and
much, much more!!!
The camp will be led by Children’s Pastor Patrick Lee and a
team of coaches. Campers need not have any previous
experience. Just bring a water bottle, and attitude to learn and
to have fun.
Dates
Session I July 13 -17 / Entering 2nd or 3rd Grade
Session II July 20 - 24/ Entering 4th or 5th Grade
9:00 am to 12:00 noon
City:
Zip:
Home Number:
School:
(please circle)
Grade Entering Fall 2015 : 2
T-Shirt Size: YS
AS
YM
YL
3
4
5
Gender: M
F
Parent/Guardian Name:
Address:
City:
Zip:
Cell Number:
Cost - $25 (by July 1) / $35 (after July 1)
*32 max camper limit for each week
Campers will receive a camp basketball t-shirt
and a daily snack break
~~~
Location: CV First Gym
For more information, contact Pastor Pat
510-582-0515 or [email protected]
E-mail Address:
Emergency Contacts:
Name: __________________________ Number: ________________
Name: __________________________ Number: ________________