Coach Carolyn Wendte's PreK-3rd Basketball Camp Sign-up

                                   Coach Wendte's PreK-3rd Basketball Camp

When: May 20-May 22

Where: Beecher City Grade School

Times: 5:30 – 7 p.m.

Cost: $30

**Note: If playing SIBC Basketball this year—no cost unless you want the T-shirt from camp which is $10

Make checks payable to: Beecher City High School
Mail to: Beecher City High School
% Carolyn Wendte
P.O. Box 97
Beecher City, IL 62414

Registration Deadline: (to receive the shirt and camp pack) April 29, 2015

If you have any questions feel free to call Coach Wendte at 618-487-5117

(Cut and send in portion below) (Please Print)

Name: ______________________ Grade: _____

Address: ______________________ City: ____________________

Home Phone: _________________ Emergency Phone: _____________

(Please circle one)

Shirt Sizes -- Youth: Medium Large

Adult: Small Medium Large Xlarge XXLarge

Parent Release:
I hereby authorize the staff of the Beecher City High School Basketball Camp to act for me according to their best judgment in any emergency requiring medical attention, and I hereby waive and release the camp from any and all liability for any injuries or illness incurred while at camp. I have no knowledge of any impairment that would interfere with the camper’s participation in the camp program.

Signature of Parent or Guardian: _________________ Date: _____________