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2015 Floyd County High School
Lady Buffs Basketball Camp
Location: Floyd County High School
Dates: Monday, June 1st – Thursday, June 4th 2015
Ages: Grades K-8 (grade entering in fall 2015)
Time: 9:00 a.m. - 3:00pm
Lunch: 12:00 (Pack Lunch or Eat a free school lunch - Drinks / Snacks Available for Purchase)
Cost:
1 Child - $70 / 2 Children - $120 / 3 Children - $170
(Same Family)
(Same Family)
All participants who attend 3 days or more will receive a camp T-shirt. Prizes and awards will
be given throughout the week. First 50 campers to pre-register with a $10 deposit will
receive a regulation size basketball. You may also register at the door.
** Make checks payable to FCHS
Supervision: During the instruction and practice sessions, the campers are under the close
supervision of the coaching and camp staff.
_____________________________________________________________________________________________
(Please detach and return with deposit/payment)
Camper Name ______________________ Parent/Guardian Name & Phone # _____________________________
School ___________________________
Grade Entering in the fall of 2015__________
Waiver and Release: In consideration of my application being accepted, I, intending to be legally bound, do
hereby, my heirs, executers, and administration, waive, release, and forever discharge any and all rights and
claims for damage which I may hereafter accrue to me against Floyd County High School, Floyd County High
School Basketball Camp, the Camp director, or their respective employees, office, agents, representatives,
successors, and/or assignee, for any and all damages which may be sustained or suffered by me in connection
with my association with or participation in, or rising out of my traveling to and returning from said school to be
participated in on the campus of Floyd County High School.
____________________
____________________
__________
Camper’s Name
Parent/Guardian Signature
Date
Mail to:
Floyd County High School
Attn: Travis Cantrell
721 Baker Street
Floyd, VA 24091