Basketball Skill Camp

Step 1: Register

Dates: June 20th -24th Monday through Friday 9 a.m.-12:00 p.m. There is no cost to participate.

Age groups: Going into 1st grade through going into 6th grade

Camper’s LAST Name

FIRST Name

Gender

MaleFemale

Grade ENTERING Fall 2022

Date of Birth

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Email Address

(Confirmations of registration will be sent by email unless no family e-mail address is available)

Father’s/Guardian #1 Name

Emergency Phone #’s

Mother’s /Guardian #2 Name

Emergency Phone #’s

Camper lives with (if different than above):

Relationship to camper?

Camper’s Home Church: (Church Name/City)

ALL CAMPERS SHOULD BE AWARE AND AGREE:

RULES:

1) I will at-all-times listen to and respect all authority figures of the NLBC basketball skills staff.

2) I understand that if I cause a disruption and am asked to leave, that I forfeit my deposit/registration money and any awards.

3) NLBC will not transport any campers home during the camp time. If I am asked to leave, my parent or guardian will be responsible to pick me up immediately.

4) This is a skills camp, not a team tournament. There will not be team competitions or games played. All instruction is one-on-one to make each camper a better athlete.

5) There will be services of Bible teaching as well as basketball skills. All campers will be expected to participate respectfully.

“I, the camper, understand that the main purpose of this camp is to help me: 1) learn basketball skills, and 2) grow spiritually. The rules of the camp are based on the Christian value system. I, the camper, have read the rules above and agree to cooperate fully.”

Signature

Early Registration Deadline: May 20th to ensure camper receives a shirt

Early Registration Deadline: May 20th to ensure camper receives a shirt Indicate Shirt size of Camper:

Basketball Skill Camp

Step 1: Register

Dates: June 20th -24th Monday through Friday 9 a.m.-12:00 p.m. There is no cost to participate.

Age groups: Going into 1st grade through going into 6th grade

Gender

(Confirmations of registration will be sent by email unless no family e-mail address is available)

ALL CAMPERS SHOULD BE AWARE AND AGREE:

RULES:

1) I will at-all-times listen to and respect all authority figures of the NLBC basketball skills staff.

2) I understand that if I cause a disruption and am asked to leave, that I forfeit my deposit/registration money and any awards.

3) NLBC will not transport any campers home during the camp time. If I am asked to leave, my parent or guardian will be responsible to pick me up immediately.

4) This is a skills camp, not a team tournament. There will not be team competitions or games played. All instruction is one-on-one to make each camper a better athlete.

5) There will be services of Bible teaching as well as basketball skills. All campers will be expected to participate respectfully.

“I, the camper, understand that the main purpose of this camp is to help me: 1) learn basketball skills, and 2) grow spiritually. The rules of the camp are based on the Christian value system. I, the camper, have read the rules above and agree to cooperate fully.”

Early Registration Deadline: May 20th to ensure camper receives a shirt

Step 2: Health Form

(Sometimes referred to as DTP or Td or Tdap on health forms.)

Check boxes for up to date Vaccinations as required for school entry

PLEASE NOTE if camper has any of the following

Allergies: Please list any food, medication, insect, etc. allergies & describe reaction & management of reaction

Rx- Please list ALL medications your student will need while with us (Prescription/Over-the-counter/Herbs) must be in original container & turned in upon arrival.

Please return Registration & payment to: New Life Baptist Church 10035 Poe Street Leesburg, Florida 34788

Office Phone (352) 728-0004

Email – pastor@NLBCLeesburg.org

Website – www.NLBCLeesburg.org

“My child may be given over-the counter medication as deemed necessary by the camp staff, according to protocol, for comfort measures.”

Health Insurance Information

If Parent/Guardian is not available, please contact

In the event of emergency, I give NLBC permission to care for and transport my child for any needed medical assistance. I hold N.L.B.C. harmless for any potential injuries that may occur.

SIGNATURE MUST BE WITNESSED BY OUR STAFF

Stop by the office Tues-Fri 10am-5pm, or on the 1st day of camp