2015 Men’s Basketball “Future” Camp Parent (Guardian) Permission I hereby give my consent for the aforementioned student to participate in the RRISD approved summer camp. I have read and understand that my child will abide by all school and camp rules. I also agree to be responsible for the safe return of all equipment issued by the school and will pay for any and all lost, stolen, or damaged equipment. for 2015-16 6th-8th Graders June 15th-18th 1-5 pm Assumption of Risk & Release of All Claims All athletes will be coached, instructed and conditioned to compete at the peak of their abilities. Along with competition and effort to acquire excellence, is the reality of possible injury. Each coach is aware of the dangers and will make every effort to prevent injuries with proper conditioning, protective equipment and safety practices. However, not all injuries are preventable and SEVERE INJURIES OR EVEN DEATH CAN OCCUR DURING ATHLETIC PARTICIPATION. The RRISD does not assume any responsibility in case an accident occurs. I understand the possible risk of injury present in the athletic participation. I hereby release and discharge the RRISD, its agents, employees and officers from any and all claims, demands, actions, judgments, and executions which I may have or which my heirs, executors, administrators or assigns may have or claim to have against the RRISD, its agents, employees, officers, parent-volunteer, successors in interest or assigns for all personal injuries, known or unknown, and to all known or unknown injuries to property, real or personal, caused by or arising out of participation in athletics including travel and related activities. Insurance Coverage The RRISD Athletic Department does not provide athletic insurance for athletes. The Athletic Department and RRISD recommends that each athlete have their own insurance. The District contracts with an insurance agent to provide various insurance coverage policies that can be purchased by individuals at the beginning of the school year. I understand that RRISD will not provide insurance for my child while in athletics and that any injury sustained by my child will be my sole financial responsibility. $100 Brent Murphy, Men's Basketball Office (512) 464-6189 [email protected] Round Rock High School 201 Deep Wood Dr. Round Rock TX, 78681 Hard Work . . . . . Pays Off….. REGISTRATION FORM This summer we are offering to all our 2015-16 6th-8th grade basketball players the opportunity to get a head start on their high school careers. During the week of June 15th-18th all players interested in Ball handling, shooting technique, skill development and competing will have a chance to meet the coaching staff at RRHS and have some fun. The following will be necessary to participate… Athletic shorts Basketball shoes $100 camp fee $25 walk-up fee after May 26th The camp will be from 1:00-5:00 pm. Athletes will receive a camp t-shirt. DAILY SCHEDULE 1:00-1:15 Stretch and Ball Handling Warm Up 1:15– 1:45 Stations 1:45-2:15 Advantage Drills/Camp Game 2:15-2:30 Coaching Lecture on Shooting Form/Offensive Habits/ Defensive Habits 2:30-3:00 Competition Games 3:00-4:00 Team Games 5 on 5 Men’s Basketball “Future” Camp Please return this section with payment. Print all information in blue or black ink. Emergency Information Included. DUE BY MAY 26TH Please return the registration form with payment to Brent Murphy, RRHS Men’s Basketball or you may mail to: Brent Murphy Round Rock High School 201 Deep Wood Dr. Round Rock, TX 78681 By May 26th _____________________________ Student's Name _____________________________ Student's DOB _____________________________ Mailing Address _____________________________ Home Phone _____________________________ Parent Name _____________________________ Parent Work Number _____________________________ Emergency Contact _____________________________ Emergency Contact Number Please read the information on other side of this section then sign below and return with $100 registration fee. Make checks payable to: RRHS Men’s Basketball _____________________________ Student Signature & Date _____________________________ Parent Signature & Date Any questions, please contact Brent Murphy@ 464-6189
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