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_______________________________________________________________
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