CB West Basketball Camp
For more information: 610-847-2929 610-217-0314
Who: Girls ages 8 to 15 (grades 3rd – 9th)
What: A basketball camp for the beginner, recreational and advanced player.
Where: CB West High School
When: (June 30th -July 1st ) 9 AM to 3 PM (early drop-off at 8:00 / late pick-up until 4:00)
Cost: $95.00 (if money is received before June 1st, 2014)
$105.00 (if money is received after June 1st 2013)
There is a $20.00 administration fee for all refunds after June 1, 2014
Make checks payable to Central Bucks Community School.
Dr. Terry Rakowsky (Varsity coach at CB West HS) will be directing the camp.
All proceeds benefit the CB West Girls’ Basketball Program.
Program: Shooting skills / Dribbling skills / Finishing & Footwork skills
Moving without the ball / Setting and Using screens / Defense and Rebounding
1-on-1 / 3-on-3 / Team Play / Skill Competitions
* Please act quickly, only a limited number of spots are available.
CB West Girls’ Basketball Camp 2014
Name: __________________________________ Age: _______ T-shirt: YS YM YL S M L XL
Address: ________________________________ City: ________________ State: ____ Zip: _______
Phone (_____) _________________ E-mail: _____________________
Insurance Co.: _______________________________________ Policy #:
________________________________
I have adequate medical coverage and insurance and give my son or daughter permission to attend the Central Bucks
School District Basketball Camp and we (or I) agree to indemnify Central Bucks School District and its employees for any
claim which may hereafter be presented by our (Or my) son or daughter as a result of any such injuries. In addition, our
(or my) son or daughter, understand all the rules and regulations of Central Bucks School District Basketball Clinic and
promise to conform to them.
Parent(s) MAIL TO:
Signature: ______________________________ Date: ____________ Attn: Dr. Terry Rakowsky CB West High
School 375 W. Court Street Doylestown, PA 18901