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BLUE RAIDER BASKETBALL CAMP
JUNE 3-6, 2024
CAMP COST $100
FOR BOYS AND GIRLS ENTERING 2nd - 9th GRADES
DAILY INSTRUCTION: 8:30 AM - 4:00 PM
ON THE CAMPUS OF LINDSEY WILSON COLLEGE

CONDUCTED BY HEAD MEN'S BASKETBALL COACH CHRIS STARKS
22nd ANNUAL INDIVIDUAL & FUNDAMENTAL DAY CAMP
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Email *
Untitled Title
Untitled Title
2024 BLUE RAIDER BASKETBALL CAMP
Camper Name *
MALE OR FEMALE *
I understand that I will have to pay $100 upon arrival *
Required
What school does your camper attend *
GRADE ENTERING NEXT YEAR *
Required
T-SHIRT SIZE *
Required
PARENTS NAME *
CONTACT PHONE NUMBER *
EMAIL ADDRESS *
HOME ADDRESS *
CITY *
STATE *
ZIP CODE *
INSURANCE COMPANY *
INSURANCE POLICY ## *
PARENTS CONSENT:
I HEREBY AUTHORIZE THE LWC BASKETBALL STAFF TO ACT ACCORDING TO THEIR BEST JUDGEMENT IN AN EMERGENCY REQUIRING MEDICAL TREATMENT, AND I STATE THAT THE ABOVE APPLICANT HAS BEEN CHECKED AND IS IN SOUND PHYSICAL CONDITION TO PARTICIPATE IN BASKETBALL CAMP
PARENT CONSENT:
BY CHECKING THE BOX BELOW I HEREBY AUTHORIZE THE LWC BASKETBALL STAFF TO ACT ACCORDING TO THEIR BEST JUDGEMENT IN AN EMERGENCY REQUIRING MEDICAL TREATMENT, AND I STATE THAT THE ABOVE APPLICANT HAS BEEN CHECKED AND IS IN SOUND PHYSICAL CONDITION TO PARTICIPATE IN BASKETBALL CAMP
 *
Required
ONCE APPLICATION IS RECIEVED, WE WILL SEND YOU A DETAILED FACT SHEET ABOUT CAMP WITH ALL INFORMATION PERTAINING TO CAMP

ANY QUESTIONS, PLEASE CONTACT COACH STARKS DIRECTLY AT 270-250-2942 OR starksc@lindsey.edu
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