CO-ED Summer Basketball Skills Camp

Sign up for our CO-ED Summer Basketball Skills Camp with Coach Dennis Rumph!

Date(s): June 23 - 27 (Mon - Fri) and/or June 30 - July 3 (Mon - Thurs)

Time(s): For students entering Grades 2-4 ~ 9:00 AM - 12:00 PM

For students entering Grades 5-9 ~ 1:00 - 4:00 PM

Capacity is 40 students per group

Grades: Entering Grades 2-9

Cost: One (1) child $175.00 per week

Two (2) children $275 per week

Three (3) children $350 per week

Location: All Saints Catholic School Gym

Please ensure that your child brings all required materials, wears proper clothing & sneakers, and brings necessary drinks and snacks.

REGISTRATION DEADLINE: Wednesday, June 11

Questions? Contact Mr. Dennis

[email protected] or 573-953-2185

Student Information - Child 1

First Name (Child 1)*

Answer Required

Last Name (Child 1)*

Answer Required

Entering Grade*

Answer Required

2nd

3rd

4th

5th

6th

7th

8th

Allergies or medical concerns (Child 1)

Answer Required

Student Information - Child 2

Only complete if registering a second child.

First Name (Child 2)

Answer Required

Last Name (Child 2)

Answer Required

Entering Grade (Child 2)

Answer Required

2nd

3rd

4th

5th

6th

7th

8th

Allergies or medical concerns (Child 2)

Answer Required

Student Information - Child 3

Only complete if registering a third child.

First Name (Child 3)

Answer Required

Last Name (Child 3)

Answer Required

Entering Grade (Child 3)

Answer Required

2nd

3rd

4th

5th

6th

7th

8th

Allergies or medical concerns (Child 3)

Answer Required

Registering Parent Information

First Name*

Answer Required

Last Name*

Answer Required

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Email Address*

Answer Required

Phone Number*

Number Required

Emergency Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Email*

Answer Required

Phone Number*

Number Required

Pickup Information - Please list the name of person authorized to pick up child(ren) other than registering parent listed above.

First Name*

Answer Required

Last Name*

Answer Required

Phone Number*

Number Required

Basketball Skills Camp Fee WEEK 1: June 23-27*

Answer Required

$175.00 - One Child

$275.00 - Two Children

$350.00 - Three Children

$0.00 - NOT ATTENDING THIS WEEK

Basketball Skills Camp Fee WEEK 2: June 30 - July 3*

Answer Required

$175.00 - One Child

$275.00 - Two Children

$350.00 - Three Children

$0.00 - NOT ATTENDING THIS WEEK

Please fix the highlighted areas below before submitting.

CO-ED Summer Basketball Skills Camp