Blue Devil Summer Basketball Camp Dates 2010 

- please print this page and return to: Basketball Camps, Athletics Office Manager, 203 Sports & Fitness Center, UW-Stout, Menomonie, WI 54751.
Make checks payable to: UW-Stout

Check Here

Session

Grades

Dates

Camp Fee

Amount Enclosed
  3-3 Boys & Girls Tournament 5th - 8th May 8 $45/team  
  Evening Youth Camp (Commuter) 1st - 6th May 17-20 $65  
  Boys & Girls H.S. ShootOut 9th - 12th June 11-13    
  Girls Offensive Skills, Transition & Leadership Camp 6th - 12th June 20-23 $280/$240  
  Boys Offensive Skills, Transition & Leadership Camp 6th - 12th June 27-30 $280/$240  
  Girls Post & Perimeter Specialty Camp 6th - 12th July 19-20 $135/$120  
  Boys Post & Perimeter Specialty Camp 6th - 12th July 26-27 $135/$120  
           
           

Registration Form

Campers Name Home Phone
Home Address   E-mail Address  
City   State   Zip  
Grade (as of 9/10)   Age   Birthdate  
Name of School  
Parent/Guardian Name  
Roommate Preference*  

*Roommate selection is NOT guaranteed unless BOTH individuals select each other on the registration

PLEASE CHECK HERE IF YOU ARE NOT STAYING IN THE DORMS AND WILL COMMUTE  _____

Parental Consent:
I hereby grant permission for my son/daughter to attend the 2010 UW-Stout Basketball Camp.  I also grant permission to the UW-Stout Camp to act for me according to their best judgment in any emergency requiring medical attention and hereby waive and release the camp from any and all liability incurred while at camp. Summer Camp Health Form

Parent/Guardian Signature__________________________________  Date__________________

Parent Guardian E-mail Address__________________________________

Residuals from this camp will be used in support of UW-Stout Athletics

Make checks payable to: UW-Stout