Monday July 6 –Thursday July 9, 2015
CAMP # 1:
"Triple Threat Concepts"
Girls/Boys Grade 3 to Grade 7
9:00 am- 12:00 pm
CAMP # 2:
"Shooter Camp"
Girls/Boys Grades 7 to Grades 10 1:00 pm- 4:00 pm
COST:
$110.00 PER STUDENT for the Triple Threat camp
Includes Camp T-Shirt, Basketball, and daily prizes
Wrap-up Pizza Party
$110.00 per student for the Shooter Camp, reversible included
HEAD :
COACH:
Mr. R. Ellis (Former Point Guard at UBC-Vancouver)
Phone 250-712-7040 Fax 250-870-5001 E-mail jbriker@shaw.ca
Mail Registration to Attn:
Peter Briker
Mount Boucherie Secondary
2751 Cameron Road,
Kelowna, B.C. V1Z 2T6
REGISTRATION FORM
Name: ___________________Current Grade ___T-Shirt, youth L, (adult) S, M, L
E-mail:______________________________ School_____________________
Waiver: Please read carefully and sign. The applicant agrees that Westside Sports Camp and/or
proprietors will not be held responsible for an accident; injury or loss however caused and agrees to
release the proprietors from all claims that may arise as a result of, or by reason of, such accident or loss.
We (Westside Sports Camp) reserve the right to request any participant to withdraw from the program
prior to its termination if the applicant is not acting in the required manner.
Parent/Guardian Signature:_________________________________Date:_________________
Phone Number:____________________
Emergency Contact Number:__________________
Care Card Number:________________ Medical Concerns:______________________________
Please make cheques payable to:
Westside sports camps