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Creekview High School

Boys Basketball Camp


The Creekview Boys Basketball program is pleased to offer a four day basketball skills camp. The camp will be held at the
Creekview High School Gymnasium.

CAMP DESCRIPTION: The camp is fundamental-based with an equal emphasis on learning proper techniques and enjoying the
game. We will have an excellent instructor to camper ratio of 1:10 to assure individual attention. Skills that will be covered, but are
not limited to: dribbling, passing, shooting, teamwork and offensive and defensive systems.

COST DATES AND TIME


$65.00 prior to June 7th June 21st – 24th
$70.00 if registered after June 7th 1st – 5th Grade 8:30 – 11:30
6th – 9th Grade 1:00 – 4:00
Checks made payable to CFB-ISD
STAFF: The camp instructors will consist of the Creekview Basketball staff and former Creekview High School players.
Head Coach: Jonathan Ellis
Assistant: Sean Tippett
Assistant: Ron Elliott
Assistant: Jon Lewis

REGISTRATION: Complete the registration form and mail with your check, money order, cashier check, or cash. Return
registration form to Creekview High School Boys Basketball, 3201 Old Denton Rd. Carrollton, TX 75007

Parental Signature Release Form


Grade Level: ____________________
As of Fall 2010
Camper’s Name:_____________________________________________
Shirt Size:
_______________________
PARENTS: In accordance with the rules of the Mustang Summer Sports Camp, I
Emergency Contact Information
hereby give my consent for my child to participate in any and all camp activities.
Contact
If at any time it is necessary for the aforementioned camper to receive services
Name:
from an off-campus medical or physical facility, the camp will secure transportation
_________________________
as is deemed necessary.
Home #:________________________
I will not hold the camp responsible for any benefits beyond the camp medical insurance
programs and will secure adequate family insurance coverage if additional protection
Cell #:_________________________
is desired.

Insurance Company ____________________________Policy Number _____________________________________

Parent/Guardian Signature:_______________________________________________________________________

Recognition and Assumption of Risk Agreement


I, the undersigned parent/legal guardian of _____________________________, authorize said child’s participation in the Mustangs Sports Camps.
In and for consideration of my child’s participation in the Mustangs Sports Camps, I hereby agree that I will not hold the Creekview staff, the
Carrollton School District or its employees responsible for any loss, damages, or personal injuries that he/she may receive as a result of participation.
This waiver of liability expressly includes camp activities, or while in, or upon the premises whereby the activity is being conducted. I also agree to
follow all instructions and procedures in order to maintain a maximum level of safety, and that I should make sure my child is covered with adequate
insurance in the event of a serious accident. I also give my permission for emergency medical care or treatment by a physician, surgeon, hospital, or
medical care facility that may be required, and accept the responsibility for the cost. This form must be filled out and returned with the application.
Parent/Guardian Camper
Signature:_________________________________________ Signature: _______________________________

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