ANDY DARDAINE

Basketball Camp

Learn Right ... Play Right

"Where learning is not only fun, it makes you better!"

Please submit this completed registration form with payment to assure your reserved spot!

GYM LOCATION:

TBD

First and Last Name

Age and Date of Birth

T-Shirt Size

Grade and Current School

Parent / Guardian Name

Contact Information (Email and Phone Number)

CAMP IS $450 PER WEEK ~ 9:30AM - 2:00PM

WEEK 1: JUNE 15TH - JUNE 19TH

WEEK 2: JULY 6TH - JULY 10TH

BOTH

Lunch Options

My Child will bring their own lunch and drink daily

I will pay in advance for lunch and drink, amount will be included in payment. ($15 per day - additional $75 for the week)

PLEASE HAVE YOUR CHILD AT THE GYM AND READY TO START AT 9:30AM AND PICK UP PROMPTLY AT 2PM DAILY

Initials

Andy Dardaine, staff, volunteers, and/or Providence High School or Emmanuel Church accept NO liability for any injury that may occur during our basketball camps.

I give my child permission to attend the Andy Dardaine Basketball Camp and participate in all activities.

Signature and Date (This text box serves as written signature and approval)

SPACE IS LIMITED! RESERVE YOUR SPOT NOW ~ FOR MORE INFO EMAIL: andydardainebasketball@gmail.com

Payments can be made using:

VENMO: @Andy-Dardaine-Basketball

ZELLE: andydardainebasketball@gmail.com

BUILDING CONFIDENCE THROUGH ABILITY

*Payments are final ~ NO refunds