BHS Boys Basketball Camp Registration Form

Belen High School Boys Basketball Kids
Camp
June 1st– 3rd Monday-Wednesday
Camp will be held at Belen High School Gymnasium
CAMP FEATURES
AWARDS

CAMP T-SHIRT

Competition winners will receive
Medals
BASKETBALL TO TAKE HOME

INSTRUCTION BY BELEN HIGH SCHOOL
COACHING STAFF AND PLAYERS

CONCESSION STAND

POSITIVE ATTITUDE SESSIONS

OFFENSIVE AND DEFENSIVE DRILLS
WHAT TO BRING

HALF AND FULL COURT SCRIMMAGES

FREE THROW SHOOTING CONTEST

JUMP SHOT CONTEST
* Clean gym shoes (not worn outside)
* Workout clothes and camp t-shirt
each day.
* Camp issued Basketball
* Money for concession stand.
 LAY – UP CONTEST
AGE DIVISIONS AND TIME SCHEDULES
9:00 – 12:30
1st – 8th Grades
For more information call Coach Patrick Mondragon at 575-308-3646
Registration: 8:00 – 9:00 on June 1st or mail it in
Make check payable to: Belen Basketball
May be mailed to:
Coach Mondragon 137 Camino De Los Chavez, Belen, NM 87002
COST
$40/camper preregistered
$50/camper at the door
PLEASE PRINT: Camper’s Name __________________________________________________
Home Phone__________________ Address_______________________ State_______ Zip_____
Grade in Fall_____ Age _____ Date of Birth ______________ T-Shirt Size _________________
In case of an emergency someone can be reached at ____________________________________
Indemnification: I/we herby authorize the director and members of the Belen Consolidated School District Eagle Summer
Camp to act for me/us according to their best judgment in any emergency requiring medical attention and herby waiver
and release the camp and the individual directors, and workers of all liability for any illness or injuries incurred by the
above named participant while at the camp. I/we know and accept the risks related to camp activities. I/we understand
that any medical expenses resulting from participation in the camp are our responsibility. The parent/guardian agrees
and consents to the posting of photographs or visual reproductions of the student in connection with regular and
extracurricular activities on the district website. The undersigned also understands that the use of any image is
temporary and will not be stored by BCS in any permanent archive (digital or otherwise).
Parent or Guardian_______________________________________________________________