WHERE: William Blount High School Gymnasium

WHEN: July 10-14, 2017 TIME: 9am-3pm

All student-athletes entering 2nd-9th grades are invited to attend this wonderful event.

William Blount Basketball staff will provide excellent fundamental instruction along with a fun,

competitive basketball experience. Bring your lunch or enjoy the concession stand.

2017 Boys and Girls Basketball Camp

Cost: $100 per camper Registration: 8:30am on first day

WHERE: William Blount High School Gymnasium

WHEN: July 10-14, 2017 TIME: 9am-3pm

All student-athletes entering 2nd-9th grades are invited to attend this wonderful event.

William Blount Basketball staff will provide excellent fundamental instruction along with a fun,

competitive basketball experience. Bring your lunch or enjoy the concession stand.

WHERE: William Blount High School Gymnasium

WHEN: July 10-14, 2017 TIME: 9am-3pm

All student-athletes entering 2nd-9th grades are invited to attend this wonderful event.

William Blount Basketball staff will provide excellent fundamental instruction along with a fun,

competitive basketball experience. Bring your lunch or enjoy the concession stand.

REGISTRATION FORM______________________________________________________

To ensure your spot in camp, please mail this form to:

William Blount High Schoolc/o Coach Kevin Windle

Boys Basketball219 County Farm RoadMaryville, TN 37801

CAMPER NAME: ______________________________________ GENDER: M / F

SCHOOL: _____________________________________________ GRADE: ______

PARENT/GUARDIAN NAME: ___________________________________________

ADDRESS: ___________________________________________________________

CITY: _______________________________________ ZIP CODE: ______________

PRIMARY PHONE #: ___________________________________________________

SECONDARY PHONE #: ________________________________________________

SHIRT SIZE: YS YM YL YXL S M L XL XXL

AMOUNT ENCLOSED: $ ________________

I, THE UNDERSIGNED, UNDERSTAND AND ACCEPT THAT CAMP INSURANCE WILL NOT BE PROVIDED. I UNDERSTAND THAT BASKETBALL IS A SPORT IN WHICH PHYSCIAL INJURY COULD POSSIBLY OCCUR. I WILL NOT HOLD THE COACHING STAFF, CAMP COUNSELORS, THE SCHOOL OR THE SCHOOL SYSTEM RESPONSBILE FOR ANY INJURY MY CHILD MAY RECEIVE DURING THE CAMP. BY SIGNING BELOW, I RELEASE THE COACHING STAFF, COUNSELORS, THE SCHOOL AND THE SCHOOL SYSTEM FROM LIABILITY IN CASE OF ANY INJURY.

______________________________________ ___________ PARENT/GUARDIAN SIGNATURE DATE