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Official Kirkwood Pioneer Athletics Website
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Join the fun at the Kirkwood Pioneer Basketball Camp! Daily Prizes will be given for each age group as well as awards for camp participation. Each camper receives a free t-shirt. Have fun while you learn the fundamentals to play basketball like the Kirkwood Pioneers!
DATE January 9
LOCATION
TIMES Freshmen 4:00 PM Sophomore Game: 5:30 PM Varsity Game: 7:00 PM Post Game with Pioneers: 8:30 - 9:45 PM Cost: Free
Player Name:______________________ E-Mail:_____________________________________ Parernt Contact::____________________ Phone:______________________________ 2008-09 Grade:_______ Emergency/Medical Release Allergies to medication: ___________________________________________________________________________________ Other medical conditions(s) that the coaching staff should be made aware of: _________________________________________ Insurance Company/Policy Number: _________________________________________________________________________ If my child is injured while participating in camp, I give my permission for coaches, trainers, or school officials to administer first aid, contact the ambulance service, and/or to provide other emergency medical services for my child.
Parent/Guardian: __________________________________________________________________ _________________ Signature |
