Rebels and Lady Rebels Camp of Champions

When: June 2, 3, 4, 2014
Where: Fannin County High School Gymnasium
Time: 9:00 a.m. – 12:00 a.m.
For: Boys and Girls in upcoming grades 1-9
Cost: $45 if registered by May23, 2013. After the 23rd Cost will be $50.
Fundamentals Covered: Each Camper will receive:
o Shooting -T- Shirt
o Passing -Drink
o Rebounding -Instruction
o Ball Handling – Team building concepts
o Defense
o Team Skills

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

Please return this form to:
Coach Suzianne G. Pass
spass@fannin.k12.ga.us
or
Coach Scott Eggleston
seggleston@fannin.k12.ga.us

Fannin County High School
call 706 632 3111 ext.3
360 Rebel Circle
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 2,3,4, 2014. I certify that he/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 daughter 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 High School****