WAIVERI understand that Bishop McGuinness Catholic High School and/or Coach

Tondrell Durham will not be responsible for injury or any other matter concerning injuries/liabilities for the participating player. I understand that any injury will be handled in a timely manner and/or conductive to athletic training coaches responsible for the camp. I understand that the coaches will inform parents immediately upon incident occurring.

Parent/Guardian Signature

Signature: ___________________________________________

Relationship: _________________________________________

Date: _______________________________________________

2016 IRISH BASKETBALL CAMPS RELEASE

In case of emergency, and if I am unavailable, please contact the following person:

Name _______________________________________________________

Telephone: ___________________________________________________

Relationship: _________________________________________________

Signature of Parent/Guardian:

Signed: _____________________________________________________

Date ________________________________________________________

Questions about Camp? Call (405) 922-0031

BISHOP MCGUINNESS

IRISH BASKETBALL CAMPS

JUNE thru13th

16th20

16

MONDAY-THURSDAY

(PLEASE PRINT)

Camper(s) Name _________________________________________________________________ Age _________☐ Male ☐ Female

Parent(s) Name _____________________________________________________________________________________________

Address ___________________________________________________________________________________________________

City _____________________________________________________________________State __________ Zip _______________

Home Phone ______________________________________ Parent(s) Business Phone ___________________________________

Cell Phone: _______________________________________ Parent(s) Business Phone ___________________________________

Next Years Grade Level ______________ Person Responsible for Pick-up _____________________________________________

PLEASE SIGN THE WAIVER FORM ON THE BACK, INCLUDE CHECK PAYABLE TO MCGUINNESS BASKETBALL CAMP and mail application to: COACH DURHAM ■ 2408 NW 154th ST. ■ EDMOND, OK 73013

THANKS FOR SUPPORTING IRISH BASKETBALL!!!

Adult Small Medium Large XL XXL

Youth Small Medium Large XL

2016 IRISH BASKETBALL CAMPS APPLICATION

PLEA

SE C

HECK

T-

SHIR

T SI

ZE

Please cut along dotted line and return application below to Coach Tondrell Durham, 2408 NW 154th St., Edmond, OK 73013

IRISH BASKETBALL CAMPSGYM LOCATION

BISHOP McGUINNESS HIGH SCHOOL

MONDAY-THURSDAYPassingDribblingShooting

League Games

T-ShirtLeague Awards

Concession StandChampionship Tournament

CAMP FOCUS:

4th - 9th ■ 9am - 12pm

1st - 3rd ■ 1pm - 3pm

IRISH BASKETBALL

JR. HOOPS CAMP

CAMP OFFERS: JUNE 13th

16th2016$70.00 per child

Boys Only

Boys & Girls

thru