1. AFFTON SUMMER BASKETBALL CAMP
Date: August 5th - August 8th 2013
Time: Grades 9th-12th 11:00am-12:30pm
Location: Affton High School – Lower Gym
Fee: $ All Fees due by Aug. 1st please mail to address listed below We will accept registration on first day of camp. Camp T-Shirt included.
Instructors: Coach Fitzgerald and Varsity Boys Basketball Team
Instruction: Work on basketball fundamentals, such as, shooting, dribbling, passing, rebounding and defense.
Basketball Camp Registration Form
Mail by Aug. 1st to:
Mike Fitzgerald
Affton High School
8309 Mackenzie Road
St. Louis, MO 63123
Check payable to:
Affton Basketball
Students Name ______________________
Shirt Size YOUTH S M L XL ADULT S M L XL
Address ____________________________
City____________ State ____ Zip ________
Phone Number________________
School __________________________
Grade ( school year) _________
Emergency Information (if parent cannot be reached):
Contact Person ___________________
Phone Number ___________________
I, the undersigned, agree and understand that all classes are done at the participant’s own risk. Although accidents
rarely occur, those participating should have their own insurance or be aware the expenses for any medical treatment
or care must be borne by the individual participant.
Read & Understood ________________________ Date ___________