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2016 Centralia Youth Girls Basketball Camp Date: Monday, May 23rd-Wednesday, May 25th Where: CBMS Gymnasium For: Girls who are entering grades: 3rd, 4th, 5th and 6th (2016-2017) Time: 3rd and 4th grade: 3:30-5:00pm, 5th and 6th grade: 5:15-6:45pm Camp Costs: The cost of the Youth Camp is $30.00, $50.00 per family. The fee covers the cost of camp and a camp T-shirt. Camp instruction will be lead by the Middle School girl’s basketball coaches, Coach Watermann and Coach Ensor. Please make sure to drop off and pick up all camp participants at the back entrance of the Middle School. Equipment Needed: Everyone will need to wear proper basketball attire: T-shirt, shorts, and basketball/tennis shoes. Water and Gatorade will be provided. Grade Level (2016-2017): 3rd 4th 5th 6th Camp Registration: Fill out the registration form, include the camp fee, and turn into Sara Haskell at CES or Kimberly Morris at CIS by Wednesday, May 11th. Make Checks Payable to Centralia School District CENTRALIA YOUTH BASKETBALL CAMP REGISTRATION FORM (Fill out with a check or cash and turn in by May 11th) NAME: __________________________________________ PHONE NUMBER: _________________________________ PLEASE INDICATE SHIRT SIZE: YS YM YL S M L Parental Consent: I approve of my daughter’s participation in the youth basketball camp and certify that she is in good health and able to participate in the activities. If medical attention is required while attending, I give permission for such care. I further acknowledge that the Centralia Schools or coaching staff will not be liable for any damage or injuries sustained at the camp. Signature Date