2016 OMS Girls
Basketball
Lady dawgs
Camp
July 18th – 21st 1:00 Pm –
4:00 pm
Player Registration Form:
Player’s Name: ____________________________________________
Upcoming Grade:___________
Parent Name: ______________________________________________
Parent Email: _______________________________________ Parent Phone: _____________________
Emergency Contact: _________________________________________ Relationship: ______________
1st Telephone #: __________________________
2nd Telephone #: _____________________________
Physical disabilities/illnesses/allergies:
_____________________________________________________________________________________
_____________________________________________________________________________________
I have a current physical on file at Otwell Middle School:
Y
or
N
Camp Fee: $20 Pay cash or make check payable to OMS Basketball
Parent Signature: ______________________________________________ Date:__________________
Registration deadline: May 26th, 2016
Return completed form and money to Coach Chapman (gym)
For questions please contact Dana Chapman dlchapman@forsyth.k12.ga.us