[FOX SPORTS]

BASKETBALL ‘FUN’DAMENTALS CAMP

FOR BOYS AND GIRLS IN GRADES K-8

Camp Directors: BILL WATSON-Pikeville College Women’s Head Basketball Coach

2003 WBCA National Coach of the Year

CHRIS PIERCE-Johnson County Youth Coach

Dates: June 23-26 Place: Johnson County Middle School Cost: $50.00

Second family member:$40; Third member : $30

Time: Session 1 (K-4) 9:00-12:00 Time: Session 2 (5-8) 12:30-3:30

Lunch will be provided at JCHS.

Make Checks Payable to: Bill Watson, Box 642, Paintsville, KY, 41240

There will be a limit of 60 campers per session. Once our limit has been reached, we will no longer accept applications. Applications and fees must be received by JUNE 20, 2008 to reserve a spot.

All campers will receive a camp T-Shirt and a basketball.

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Name:__________________________ Grade:_________ Age:___________

School:___________________Home Phone:_____________ Cell Phone:_____________

Emergency contact person / relationship to camper:_______________ / ______________

Emergency contact phone numbers:_____________ / ____________ / ______________

T-Shirt Size (circle): YS YM YL AS AM AL AXL AXXL

Shirts are pre-ordered. We will try our best to accommodate your selection as close as possible..

I, ___________________ (parent / guardian), give permission for __________________ (camper) to attend the BASKETBALL ‘FUN’DAMENTALS CAMP. I also authorize the camp directors to take action in the event of an injury or emergency situation.

Insurance Company_______________________ Policy Number___________________

Parent / Guardian signature:__________________________ Date:_________________

*** If camper has any medical conditions or physical limitations that the camp directors need to be aware of, please write them down and attach them to the application. It is the responsibility of the parent / guardian to let the camp directors know of these.