Tom Bryant Memorial Basketball Shooting & Fundamentals Camp Set

The Tom Bryant Memorial Basketball Shooting & Fundamentals Camp, for boys and girls in grades kindergarten through sixth grade, will be held on Sundays, January 4, 11 and 18.

The camp will be held at the Enlow Center, St. Anthony High School. Kindergarten, first, second and third grades will be held from 10:45 a.m. to noon. Fourth, fifth and sixth grades will be held 12:15-1:30 p.m. The entry fee is $25.

Instructors will be St. Anthony coaches, assistant coaches and present St. Anthony players, boys and girls.

Fill out this portion and mail it with your check (payable to the Tom Bryant Scholarship Fund) to: Tom Bryant Scholarship Fund, 912 Oakcrest Drive, Effingham, IL 62401. If there are any questions, contact Anita Baker at 347-7994. All funds will be used for the annual Tom Bryant scholarships.

                                                                                 CAMP BLANK

Student Name___________________________________________________________________________

Grade: (Circle one):        K        1        2        3        4        5        6

T-shirt size (Circle one)      YS (6-8)    YM (10-12)   YL (14-16)   AS    AM    AL    AXL

I hereby authorize the staff of the camp to act for me according to their best judgment in any emergency that requires medical attention, and I hereby waive and release the camp from any and all liability for any injuries or illness occurred while at camp. i have no knowledge of any physical impairment that would be affected by the above camper's participation in the camp program.

PARENT'S NAMES_________________________________ PHONE NO._______________________

PARENT ADDRESS__________________________________________________________________________

PARENT SIGNATURE_____________________________________DATE_____________________________