2023 BOYS BASKETBALL SUMMER CAMP ENROLLMENT FORM

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For more info visit raypecbasketball.com The camps will be mainly boys but girls are welcome to attend.

Email *

PLAYER'S First Name *

PLAYER'S Last Name *

GRADE NEXT SCHOOL YEAR 2023-2024 *

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 a notable enhancement in their ability.

CHOOSE CAMP(S)

Camps are located at the High School in the Dome and Auxiliary gyms. To enroll your child, click on the amount of money to enroll your child in that camp. All camp grades are for grades they will be in during the 2023-2024 school years. Girls will have their own camps with the girls' program but are welcome at our camps too. (We want to see the players all week but understand if they must choose days)

Individual camp $35 per session (click this column if just attending some)

BEST Option: Come to all 3 sessions for $80 (click this column to come as many sessions as you can)

Shooting Camp 10-12:00 May 30 ($35) (K-8th grades)

Handles Camp 10-12:00 May 31 ($35) (K-8th grades

Finishing Camp 10-12:00 June 1 ($35) (K-8th grades)

Clear selection

T-SHIRT SIZE *

PARENT NAME *

ADDRESS *

PHONE NUMBER *

SECOND EMAIL ADDRESS (optional)

MEDICAL INSURANCE COMPANY *

EMERGENCY CONTACT *

RELATIONSHIP TO STUDENT *

EMERGENCY PHONE NUMBER *

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.

WAIVER FOR SUMMER CAMPS

PARENT PERMISSION FORM FOR SUMMER PARTICIPATION 2023
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 *

Future Panthers Dream Big

District Championships and tournament championships have become common place for the Panthers. In 2020 the Panthers advanced to the Quarterfinal game for the first time since 1995. Our program's continued success is based in large part to the commitment of our players to be their best and to learn the skills taught at our camps. We encourage every future Panther players to take part in our camps.

A copy of your responses will be emailed to the address you provided.

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