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Ganon Baker MAINE SKILLS WORKOUT **BRING , TENNIS BALL, Notebook and JUMP ROPE

DATE: Saturday September 15th, 2012

LOCATION: Cony High School 60 Pierce Drive Augusta, Maine 04330 Amare Stoudemire

Time: 10am-1pm

Cost: $60

For: Boys and Girls age 11 and up (College players accepted) Deron Williams

Registration Information: For questions, please call Paul Vachon 207-215-6091 OR Angie Diamond 1-866-626-0412 Register online at www.ganonbakerbasketball.com/events or send in registration and payment to the address below www.ganonbakerbasketball.com / www.youtube.com/ganonbakerbasketball

* NBA Skill Development Coach * National / International Professional Clinician and Trainer * Author of 42 Top Selling Basketball DVDs * Nike Skill Development Trainer / Director * Brand Classic Director * Has worked with Kobe Bryant, Amare Stoudemire, Chris Paul, Vince Carter and LeBron James * Author of Basketball Instructional Articles for FIBA, Got Game and Five Star * summer roster player * European Professional Player * 6 year Division I and II College Assistant Coach * Division I College Standout for Duquesne University and UNC Wilmington * Over 25 Division I College Scholarship Offers * To Register: Fill out form below, detach and mail in with check made payable to: Ganon Baker Basketball Mail to: 700 Stonewater Ct., Delaware, Oh 43015

Name of Participant: ______Age______Grade: ______

Address: ______

Phone : ______Email Address: ______

Emergency Contact Person with phone number: ______

Medical conditions and / or injuries: ______

I fully give my permission to the above listed person to participate in activities provided by Ganon Baker / Shake N' Bake Basketball Services and staff. I agree that Ganon Baker and/or staff and/or facility will not be held liable for injury to the above listed person as a result of participation in any Ganon Baker / Shake N' Bake Basketball event.

______Parent or Guardian Signature Date Office Use:Maine12