Sumner Academy Soccer Team

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					                                HOT SHOTZ YOUTH
                                  BASKETBALL CAMP
                     GENERAL INFORMATION:
                     Hot Shotz Youth Basketball Camp is for boys and girls, 6 to 15 years
                    old. Our camp welcomes players of all skill levels. The focus of the camp
is to expose young players to a variety of technical basketball skills and game sense, in a
positive atmosphere. Each day includes individual skills development, technical drills,
competitions, coached scrimmages and tournament play. In addition, our coaching staff will
provide your child with lessons in self-discipline, good sportsmanship and respect for others
and the game. Campers who register by May 31st, 2010 will receive a Hot Shotz Camp T-shirt.
All campers will receive a snack and beverage daily.

The camp will be held at Sumner Academy located at 464 Nichols Lane, Gallatin, TN 37066.

Fundamentals Camp:               JUNE 14th – 18th, 2010            8:00am – 12:00pm

Guards & Posts Camp: JULY 12th – 16th, 2010                        8:00am – 12:00pm
Fundamentals Camp focuses on all areas of basketball skill development. Campers will
participate in daily clinics, station breakdowns, individual contests, team competitions and
tournament play. Guard and Post Play Camp offers the opportunity to choose a position and
develop skills through valuable instruction and hands-on training. Guards: offensive moves,
shooting, feeding the post, setting/using screens and defensive footwork. Posts: offensive
moves, offensive & defensive rebounding, offensive & defensive positioning.

The registration fee for each camp session is $90.00. An early registration discount of $10.00
will be given to campers who register by May 31st for Fundamentals Camp and June 30th for
Guards & Post Camp. Multi-sibling discounts are available. For your convenience, you may
use one form when signing up multiple children. Prior to making out and submitting payment,
please contact Coach Logan at (615) 243-7659 or for discount details.
Please make all checks payable to Hot Shotz Y.B.C. or Craig Logan.

EXTENDED-CAMP CARE (12pm to 4pm):
Extended-camp care is offered to all campers at an additional fee of $80.00 per session. Lunch
will be provided for all extended-camp attendees and will be served from 12:15pm to 1:00pm.
After lunch, campers will have recess time from 1:00pm to 1:30pm, followed by structured
activities from 1:30pm to 3:30pm.

Please be advised that supervision for campers will be provided 30 minutes before camp
starts and 30 minutes after the after-camp care ends. This means that your camper cannot
arrive earlier than 7:30am in the morning and needs to be picked up no later than 12:30pm.
After-camp attendees need to be picked up by 4:30pm.
   Please fill out this form completely and accurately. Check the appropriate session(s) below.

FUNDAMENTALS (June 14th – 18th) ___ Camp ($90.00) ___ Camp and Extended-Care ($170.00)

GUARDS & POSTS (July 12th – 16th) ___ Camp ($90.00) ___ Camp and Extended-Care ($170.00)

BOTH (Fundamentals & Guards/Posts) ___ Camp ($180.00) ___ Camp and Extended-Care ($340.00)

Please subtract $10.00 if registering by May 15th, 2010. You may use one form for signing up
multiple children. Call (615)243-7659 or e-mail for discount details.

CAMPER’S NAME_________________________________________________ AGE __________

T-SHIRT SIZE (circle one):      YS     YM       YL      AS     AM      AL      XL

* ATTENDING SIBLINGS __________________________________________________________

ADDRESS _________________________________CITY ___________________ ZIP___________

HOME PH ___________________ D.O.B. ______________ SCHOOL ________________________

FATHER’S NAME ________________________ MOTHER’S NAME ________________________

WORK/CELL PH __________________________ E-MAIL _________________________________

                                     EMERGENCY INFORMATION

CONTACT NAME _________________________________ PHONE _________________________

MEDICAL INS CO. _____________________________ MED INS ID# ______________________

MEDICAL CONDITIONS (if any) ____________________________________________________

I hereby authorize the staff of Hot Shotz Youth Basketball Camp to act for me to their best judgment
in any emergency requiring medical attention. I hereby waive and release the Camp from any and all
liability for injuries or illness incurred while at the camp. I have no knowledge of any physical
impairment that would be affected by the above named camper’s participation in the camp program. I
understand that I am required to maintain and carry accidental medical insurance coverage for the
child listed on this application, and I verify that the coverage information listed is accurate and true.

___________________________________________________                         ______________________
           Parent/Guardian Signature                                                Date

                 Please make checks payable to Hot Shotz Y.B.C. or Craig Logan.
                  Drop off or mail completed registration form with payment to:

                                          Sumner Academy
                                          Attn: Craig Logan
                                           464 Nichols Lane
                                          Gallatin, TN 37066

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