Lady Sabercats Basketball Camp 2012

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					                   Southmoore Lady Sabercat Basketball Camp
                       Camp is for Girls 6rd-9th grade (2012-2013 School Year)

Date: June 11th-13th (Monday-Wednesday)
Place: Southmoore High School Gym
Time:          6th grade-9th grade (2012-2013) 1:15 pm-4pm
               Campers are welcome to stay and shoot from 4 pm to 4:15 pm
Camp Staff: Camp Director, Head Girls Coach, 2012 Mid-State Conference Coach of the Year, Derek Dorris
               Camp Counselors: Current Southmoore Lady Cat basketball players
Cost: $50/camper
. Each camper will receive a T-shirt
. Free Throw Contest
. Hot Shot Contest
. Individual Instruction
. Improve Ball Handling Skills
. Improve Overall Basketball Fundamentals-Offense and Defense
. Concession Stand: Drinks and snacks will be available for purchase
. Walk-ins are welcome
Coach Derek Dorris (Head Girls Coach) 405-735-4964
…………………………………………………………………………………….


NAME ____________________________________AGE ____                     PHONE_______________________
ADDRESS ____________________________________ CITY/STATE/ZIP __________________________
School next year: _______________________ Grade: _________ Camp Session (circle one): AM or PM
I am enclosing $ __________            T-shirt Size (circle one): Child: M L        Adult: S M L XL
Waiver: I certify that my child has been examined by a physician and has been found to be in good health and
able to compete in all camp activities without restriction. In addition, I acknowledge that I have medical
insurance to cover the cost of any injury or illness that may occur during my son's participation in this camp.
Furthermore, I authorize Southmoore coaching staff to act for me according to their best judgment in an
emergency requiring medical attention. I hereby release Derek Dorris and Moore Public Schools from any civil
or monetary damages due to injury sustained while attending this camp.

Signature ______________________________________________________________________________

Email Address _____________________________________________________

Please Return Form and Money to: Derek Dorris 2901 S Sante Fe, Moore, Ok 73160       Phone: (405) 735-4964

Makes Check Payable to: Southmoore High School

				
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