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KEARNEY HIGH SCHOOL LADY BEARCAT
SUMMER BASKETBALL CAMP (Grades 3 – 8)
PARENTS RELEASE AND INDEMNITY AGREEMENT
I hereby authorize the staff of the Kearney High School Lady Bearcat
Basketball Camp to act for me according to their best judgment in any emergency
requiring medical attention, and I hereby waive and release Kearney High School
Lady Bearcat Basketball Camp and Kearney Public Schools and all their
employees and agents from all claims on account of any injuries or illness
sustained by my child while attending the above said camp.
Signature of parent or guardian______________________________Date___________
CHECK ONE:
(Refers to 2015-2016 School Year.)
REGISTRATION DEADLINE is MAY 15th
_____ GRADES 3-5 ($40.00)
______ GRADES 6-8 ($50.00)
Make Checks payable to Jason Boyd
*Scholarships are available upon request
NAME:___________________________GRADE NEXT YEAR:_____
ADDRESS:____________________________________________
EMAIL:______________________________________________
PHONE:____________________AGE:________
T-SHIRT SIZE:
Child
S
M
L
Adult
S
M
L
XL
Payment: Must be made in full by May 15th 2015.
Partial proceeds will go towards the Bearcat Basketball Program.
Each camper receives a Bearcat Basketball and a t-shirt.
Additional Bearcat Basketballs and t-shirts may be ordered for
$10 each and must be ordered by the registration deadline.
CAMP
INFORMATION:
DATE
June 1-3
LOCATION:
Kearney High School
3610 6th Avenue
Registration in South Gym
TIMES
Grades 3-5 8:30-10:30am
Grades 6-8 9:30am-12pm
*Refers to grade you will
be entering next year
COST
The price includes a camp
basketball and t-shirt. The
cost is $40 for grades 3-5,
$50 for grades 6-8. Make
checks payable to Jason
Boyd.
Mail To:
Jason Boyd
1818 W. 50th St.
Kearney, NE 68845
Phone: 224-0251
Email
[email protected]
KEARNEY HIGH SCHOOL LADY BEARCAT
SUMMER BASKETBALL CAMP (Grades 9-12)
PARENTS RELEASE AND INDEMNITY AGREEMENT
I hereby authorize the staff of the Kearney High School Lady Bearcat
Basketball Camp to act for me according to their best judgment in any emergency
requiring medical attention, and I hereby waive and release Kearney High School
Lady Bearcat Basketball Camp and Kearney Public Schools and all their
employees and agents from all claims on account of any injuries or illness
sustained by my child while attending the above said camp.
Signature of parent or guardian______________________________Date___________
Cost: $50
REGISTRATION DEADLINE is MAY 15th
Make Checks payable to Jason Boyd
*Scholarships are available upon request
NAME:___________________________
GRADE NEXT YEAR (refers to 2015-2016 school year):_____
ADDRESS:____________________________________________
EMAIL:______________________________________________
PHONE:____________________AGE:________HEIGHT:______
T-SHIRT SIZE:
Adult
S
M
L
XL
XXL
Payment: Must be made in full by May 15th 2015.
Partial Proceeds will go towards the Bearcat Basketball Program.
Each camper receives a t-shirt. Additional t-shirts may be
ordered for $10 each and must be ordered by the registration
deadline.
2-Week CAMP
INFORMATION:
DATES:
May 26 – 28
June 2 – 4
LOCATION:
KHS N & S Gyms
TIME:
3:30 – 5:30 pm
COST
The price includes a tshirt. The cost is $50.
Make checks payable to
Jason Boyd.
Mail To:
Jason Boyd
1818 W. 50th St.
Kearney, NE 68845
Phone: 224-0251
Email
[email protected]