Champlin Park Boy’s Basketball

Winter Break Basketball Clinic

Monday, December29th

3rd- 6th grade11am-1pmCost$20.00

7th-8th grade1pm-3pmCost $20.00

Come out to the CPHS gym and join the Varsity boy’s basketball staff and the 2014-2015 Rebels basketball players for a great day of basketball!

The clinic will focus on developing skills, competitive drills/games, and having fun with the Rebels! We will be splitting into grade specific sessions. By doing this it allows us to focus on specific skill development that is age appropriate.

We are looking forward to seeing all players on December 29th. This is a great opportunity to help your son prepare to be the best basketball player he can be and to HAVE FUN!

Make checks payable to: CPHS Boys Basketball Booster Club

Mail Registration to: Champlin Park High School

c/o Matt Hoelz

6025 109th Ave. N

Champlin, MN55316

No confirmation will be sent.

Please registerby Wednesday, December 10thto ensure that the camper will receive a clinic t-shirt. We will do our absolute best to ensure that all campers receive a t-shirt.

We do accept walk up registrations also!

Please direct any questions to Head Coach Mark Tuchscherer: (e-mail)

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Name:______Grade: ______

Address:______

Phone: ______E-mail: ______

Contact for emergency: ______

(name & number)

Shirt Size (circle one): Youth-S Youth-M Youth-L Adult-S Adult-M Adult-L Adult-XL

Permission and Waiver: I herby agree to allow my child to participate in the Champlin Park Boy’s Basketball Clinc. I waive any and all rights and claims for damages I may have against Champlin Park High School and its representatives for any and all injuries from whatever cause suffered by my child in the clinic. I also give permission for the camp directors to contact first aid if necessary. This event, class, activity or matter is not sponsored or endorsed by Anoka-HennepinSchool District #11 and is not printed at District expense.

Parent/Guardian signature ______Date ______