De Pere 2006 Girls and Boys Basketball Camps

DE PERE HIGH 2011 GIRLS AND BOYS SUMMER SPORTS CAMPS CHECK, HI-LIGHT OR CIRCLE YOUR SELECTION BELOW( use next year’s grade)

BOYS BASKETBALL CAMPS--- COST $65 (INCLUDES T-SHIRT) _____7,8,9TH GRADE Fri.,& Sat., JUNE 10 & 11TH 9AM-3:30 PM DE PERE HIGH _____5,6TH GRADE Fri., & Sat., JUNE 10 & 11TH 9AM TO 3:30 DEPERE HIGH _____3,4TH GRADE MONDAY-THURSDAY, JUNE 13-16; 12:45-3:30 AT FOXVIEW _____1,2ND GRADE (CO-ED) MONDAY-THURSDAY, JUNE 20-23rd, 12:45PM-3:30PM AT FOXVIEW

GIRLS BASKETBALLCAMPS--- COST $65 (INCLUDES T-SHIRT) 7,8,9TH GRADE MONDAY-TUESDAY JUNE 13-14TH 9-3:30 PM HIGH SCHOOL _____5,6TH GRADE MONDAY-THURSDAY, JUNE 13-16TH 12:30 PM-3:30 PM MIDDLE SCHOOL _____3,4TH GRADE MONDAY-THURSDAY, JUNE 13-16TH 12:45 PM-3:30 PM FOXVIEW _____1,2ND GRADE (CO-ED) MONDAY-THURSDAY, JUNE 20-23TH 12:45 PM-3:30 PM FOXVIEW

VOLLEYBALL CAMP FOR GIRLS--- Wednesday-Friday., July 6-8 AT DE PERE MIDDLE COST $50 (INCLUDES T-SHIRT) _____5,6th grade 1-3 pm _____7,8TH GRADE, 3:30-5:30 pm

FOOTBALL CAMP---COST $50 (INCLUDES T-SHIRT) _____4,5,6,7,8,9TH GRADE, MON-WED., JUNE 20-22; 1-4 PM AT DICKINSON PRACTICE FIELD

WRESTLING CAMP-COST $50 includesT-shirt Wed July 13th & Thurs July 14th DE PERE HIGH WREST. ROOM _____Grades 1-4 8am-11am (if a youth size is needed please indicate so below, wrestling only) _____Grades 5-9 1pm-4pm

Soccer Camp –Coed June 27-30 $50 (t-shirt included) Merrill Street soccer fields _____ 1-2:30 , grades 4-6th _____ 2:30-4 , grades 7-9th

MAKE CHECKS PAYABLE TO: DE PERE HIGH SCHOOL

MAIL TO: KEITH COLEMAN, 1700 CHICAGO ST., DE PERE, WI 54115 (include payment with application) No Refunds After June 1. QUESTIONS? Keith Coleman-- [email protected] or 920-621-4174

Name______Phone______

Sex______Age______Grade NEXT year______T-shirt size-adult size S M L XL XXL

Address ______

City ______State______Zip______ATHLETIC CAMP LIABILITY- We(I) have adequate insurance and am/are able to take full responsibility for any and all injuries sustained by my/our son/daughter/legal ward named above, while participating in camp activities. We(I) further knowingly and voluntarily waive any and all claims against and forever release the camp, its employees, De Pere High Booster Clubs, and the Unified School District of De Pere from any and all liability. MY INSURANCE CARRIER IS:______

MY POLICY NUMBER IS______Further, our/my signature below also will allow a coach or designated person to admit our/my son/daughter/legal ward to a medical facility and/or care of a physician, if conditions warrant such action. PARENT/LEGAL GUARDIAN SIGNATURE BELOW(required to participate)

_X______DATE______