registration form! - Northwood High School

COACHING STAFF
Basketball
Spring Clinic 2015
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April 25, 2015
*Clinic 3-8 Graders 9:00AM12:00 AM
The goal of this camp is to teach
age/level appropriate basketball
fundamentals.
Cost is $25.00
Northwood High School Gymnasium
310 Northwood High School Road
Pittsboro, NC 27312
The school’s display of this publication is
not an endorsement of the sponsoring
organization, the activities described, or
the contents of the materials displayed. In
addition, Chatham County Schools makes
no representation regarding the nature or
quality of the services or activities
promoted.
Alex Hart
Men’s Varsity Basketball Coach
Former Graduate Assistant at UNC
Greensboro under Coach Wes
Miller
Assistant Coach at New Hanover
High School 2012 State
Championship team
Basketball Clinic
REGISTRATION FORM
Name:
Height:
Cameron Vernon, Jimmy Tilley &
Rashmi Vanhook
Women’s Varsity Head Coach &
Assistant Coach Northwood High School &
JV Coach
School:
Grade:
Parent:
**Team Members of Northwood Men’s
and Women’s Basketball**
Address:
What to bring and wear:
Mobile #:
1. Gym shoes, Shorts, T-shirt
Contact Coach Cameron Vernon for
clinic information at
[email protected] or by
calling 919-542-4181
Send Registration/Payment
($25.00) to:
Coach Cameron Vernon
310 Northwood High School Rd.
Pittsboro, NC 27312
Please make checks payable to:
NHSBFA
Weight:
Home #:
Parent/Guardian Authorization:
My son/daughter has had a recent
physical and is physically able to
participate in all camp activities. I
relieve the directors and Northwood High
School of any responsibilities should any
accident occur. I give consent for the
camp director or trainer to treat my
son/daughter in case of injury or illness.
Parent/Guardian Signature
Date