Rebels Camp of Champions

When
June 3, 4, 5, 2013

Where
Fannin County High School Gymnasium

Time
8:30 a.m. – 12:00 a.m.

For
Boys and Girls in upcoming grades 1-9

Cost
$45 if registered by May24, 2013.

After the 24th cost will be $50.
Fundamentals Covered: Each Camper will receive:
o Shooting
o Passing -Drink
o Rebounding -Instruction
o Ball Handling
o Defense
o Team Skills

Games and Fun Competitions: Instructors:
• Hot Shot – Lady Rebels and Rebels coaching
• Lay Up Competition staff
• Team Games -Lady Rebels and Rebels
• Free Throw Competition

Please return this form to: For more information:
Coach Suzianne G. Pass spass@fannin.k12.ga.us or
Fannin County High School spass@etcmail.com
360 Rebel Circle 706-632-3111 ext. 3
Blue Ridge, GA 30513

Name of Camper: _______________________________________________
Address: _______________________________________________________
City: _______________________ State___________ Zip________________
Age_____________ Upcoming Grade___________________
Parent/Guardian_________________________________________________
Phone #_______________________________________________________
Emergency Name and Number: (If we can’t get in touch with you)___________________________________________________________
Health Information:
I hereby give permission for __________________________________ to attend basketball camp at Fannin County High School on June 3, 4, 5, 2013. I certify that she is in good health and able to participate in camp activities. I hereby relieve the Fannin County Board of Education, camp instructors and the city of Blue Ridge of any responsibilities due to injury that may occur during this camp.

Parent/Guardian Signature:______________________________________________

Insurance Company:____________________________________________________
Policy #:____________________________________________________________

Anything else we should know about your child please list: (Allergies, Diabetic, hypoglycemic, etc…)____________________________________________________
___________________________________________________________________

T-shirt Size: Circle One

Youth Large Adult Small Adult Medium Adult Large Adult X Large

****Please make check payable to Fannin County Tip-off Club****