Insurance Release Form

Insurance Release Form

Applications will not be accepted without completion of this portion of the application.

I, the undersigned, as the parent or legal guardian of the participant,hereby acknowledge that the below named child is covered by medical insurance as follows:

Name: ______

Insurer: _

Company: _

Policy #:______

I authorize the camp personnel to act for me in case of any medical emergency. I understand I am responsible for all medical fees associated with any injury that may occur. My child is physically fit to participate in any vigorous activity that might take place at Alvin ISD Sports Camps. By my signature below, I hereby release and forever discharge, and waive, any and all claims against Alvin ISD, its employees, sponsors, trustees, workers, and volunteers that relate to my election regarding and/or my child’s participation in the Alvin ISD Sports Camps.

Parent Signature ______

This athletic camp/clinic follows guidelines set forth by Alvin ISD and the UIL

Manvel Mavericks

2017 Basketball Camp

June 5 - June 9, 2017

9:00 AM-1:00 PM

Manvel JR High School

7302 McCoy Road

Manvel, TX 77578

Camp Director:

Bryan Harris

281-409-6392 (cell)

This athletic camp/clinic follows guidelines set forth by Alvin ISD and the UIL

2017 Manvel

Basketball Camp

Dates: June 5– June 9, 2017

Ages:6 - Incoming 9th graders

Place: Manvel JR High School Gym

Time:9:00 AM – 1:00 PM

Cost:$85.00

Make checks payable to:

AISD Athletics

Return the completed application and payment to:

ManvelBasketball Camp ATTN: Bryan Harris

19601 HWY 6

Manvel TX, 77578

If you have any questions, please call

Coach Harris: 281-409-6392

Or email:

Campers should wear: basketball shorts, t-shirtand basketball shoeseveryday

Secondary Heading

Camp Staff and Instruction Info Camp Director:

Bryan Harris - Head Girls Basketball Coach

Chris Wilson - Head Boys Basketball Coach

Coach Harris has over 17 years of coaching experience. Coach Harris is entering his 6thyear at

Manvel with 5 District Championships, a Regional Championship and a State Championship in 2014.

Coach Harris was a former Practice Player for Pat Summitt and former walk-on at the University of Tennessee.

Coach Wilson has over 20 years of Varsity High School experience and is in his third year at Manvel including 2 trips to the Regional Finals

Camp staff will consist of several Former / Current Collegiate Basketball Players

Camp Instruction will focus on the following:

Shooting Fundamentals

Speed/Agility/Quickness

Ball handling

Passing

Communication Drills

Team Building

Having Fun

Awards Ceremony

2017Basketball Camp Application

Name:

Home Phone:

Age:

Grade in 2017 - 2018:

School zone: Manvel or Other (Circle)

If not Manvel, What School______

Camp Fee: $85.00

T-shirt Information (select one)

Youth Small Method of Payment

Youth Medium

Check No:

Youth Large

Cash

Adult Small

Adult Medium

Adult Large

Parent/Emergency Contact Name:

Daytime/Cell Phone Number: