2019 BOYS BASKETBALL SUMMER CAMP ENROLLMENT FORM
For more info visit raypecbasketball.com The camps will be mainly boys but girls are welcome to attend.
PLAYER'S First Name *
Your answer
PLAYER'S Last Name *
Your answer
GRADE NEXT SCHOOL YEAR 2019-2020 *
Spring & Summer Camps
You are what you eat. This is a common thought with kids and their eating habits. We have much the same philosophy with our basketball program. We design our camps and skills workouts to be very intentional towards the development of your young basketball player. We know your child will not be able to attend every session. However, we are giving a significant discount to those parents that commit their child to all we have to offer. By committing and coming to all the sessions they can, your child will have notable enhancement in their ability.
CHOOSE CAMP(S)
Camps are located at the high school. To enroll your child, click on the amount of money to enroll your child in that camp. All camps grades are for grades they will be in during the 2019-2020 school years. Girls will have their own camps with the girls program but are welcome at our camps too.
$60 Spring league
$35 individual summer camp
$120 for Spring & Summer Camps ($60 savings)
$100 for all summer camps
Spring Skills & 3 on 3 (see date/times below)($60) (2nd-6th grade)
Shooting Camp 12:30-2:30 June 5th ($35) (1st-9th grades)
Handles Camp 10:30-12:30 June 12th ($35) (1st-9th grades
Finishing Camp 10:30-12:30 June 19th ($35) (1st-9th grades)
Skills Workout Camp 10:30-12:30 Jun 26th ($35) (1st-9th)
All Camps discount: pay $125 & attend all/most camps
Summer Camps Discount: pay $100 & attend all/most summer camps
Spring Skills & 3 v 3
Join us from 7:00-8:30 on the following dates to improve your game. Players skills training to improve their ball handling, shooting and scoring ability. Following the training, players will be divided into 3 v 3 teams. Players will compete to win a prize.

In all drills and competitions, players will be divided by skill level.

Dates:
April 11~ 7-8:30
April 15~ 7-8:30
April 22~ 7-8:30
April 25~ 7-8:30
April 29~ Off
May 2~ 7-8:30
May 6~ 7-8:30
May 9~ 7-8:30

T-SHIRT SIZE *
PARENT NAME *
Your answer
ADDRESS *
Your answer
PHONE NUMBER *
Your answer
EMAIL ADDRESS *
Your answer
SECOND EMAIL ADDRESS (optional)
Your answer
MEDICAL INSURANCE COMPANY *
Your answer
EMERGENCY CONTACT OTHER THAN PARENT *
Your answer
RELATIONSHIP TO STUDENT *
Your answer
EMERGENCY PHONE NUMBER *
Your answer
WAIVER
In consideration of your acceptance of the application, I hereby release Ray-Pec Coaching Staff, school district employees, and volunteer coaches from all claims on account of injuries which may be sustained by my child while attending summer camp. I understand that any camper who does not abide by camp rules may be dismissed from camp with no refund. In the event of illness or injury, I hereby give my consent for medical treatment and permission to the attending physician to hospitalize, secure proper treatment, and order injections, anesthesia or surgery. I will be responsible for any medical and or other charges in connection with my child’s attendance at this camp. I certify that my child is covered by the medical insurance policy above.
Your name here is considered an electronic signature *
Your answer
PAYMENT METHODS
If you use the link below to pay online, you MUST come back AND
enter the online payment CONFIRMATION NUMBER and SUBMIT this form. If you do not come back and submit this form, you are not enrolled even if you have paid.

https://raypeck12.revtrak.net/tek9.asp?pg=products&specific=jnqprqq8

IF NOT PAYING ONLINE PLEASE RETURN PAYMENT TO;
RPHS (CAMP NAME)
ATTN: COACH JERMAIN
PO BOX 789
PECULIAR, MO 64078

PLEASE INCLUDE STUDENT NAME AND CAMP NAME WITH PAYMENT.

PAYMENT METHOD *
PAYMENT CONFIRMATION *
Please enter online payment confirmation number, check number or the word cash.
Your answer
Future Panthers Dream Big
Many young Panthers witnessed the dramatic end to the 2016 District Championship game. The win advanced the Panthers to the state playoffs. 2019 the Panthers advanced to the District Championship before losing to the eventual state champions. Future teams will continue the tradition and advance to the Final Four.
Big time shot by Nathan Janssen to help push overtime in the district championship game!
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