AFFTON SUMMER BASKETBALL CAMP Date: August 5th - August 8th 2013 Time: Grades 9th-12th 11:00am-12:30pm Location: Affton High School – Lower Gym Fee: $30 All Fees due by Aug. 1st please mail to address listed below We will accept registration on first day of camp. Camp T-Shirt included. Instructors: Coach Fitzgerald and Varsity Boys Basketball Team Instruction: Work on basketball fundamentals, such as, shooting, dribbling, passing, rebounding and defense. - - - - - - - - - - - - - - - - - - - - - - - - - Basketball Camp Registration Form - 2013 Mail by Aug. 1st to: Mike Fitzgerald Affton High School 8309 Mackenzie Road St. Louis, MO 63123 Check payable to: Affton Basketball Students Name ______________________ Shirt Size YOUTH S M L XL ADULT S M L XL Address ____________________________ City____________ State ____ Zip ________ Phone Number________________ School __________________________ Grade (2012-13 school year) _________ Emergency Information (if parent cannot be reached): Contact Person ___________________ Phone Number ___________________ I, the undersigned, agree and understand that all classes are done at the participant’s own risk. Although accidents rarely occur, those participating should have their own insurance or be aware the expenses for any medical treatment or care must be borne by the individual participant. Read & Understood ________________________ Date ___________