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West Central High School Rebels Basketball CampRegistraon Form -Deadline Date: June 26, 2013

Name:____________________________________________________________________

(First) (Last)

Age: _______________ Date of Birth: ________________ ________________________ _

Home Address: _____________________________________________________________(Street) (City)

Postal Code: ______________ Home Phone Number: (_____) ___ ________________

Parent or Guardian's Name: ___________________________ Email __________________

In case of an emergency, where parent or guardian cannot be reached, please list the name

of someone who has permission to act on your behalf:

Emergency Contacts Name: ________________________________________

Emergency Contacts Phone Number: (_____) ________________________ _

Relaonship to Player: _____________________________________________

Please list any medical condions that the sta should be aware of: ___________________

________________________ ________________________ ______________________ ____

West Central High School, its ocers, agents and employees are not responsible for any lost or damaged valuables, nor are they

responsible for any illness or injury sustained during camp. My child is physically t, except as listed above, and has my permission

to parcipate in all camp acvies. In the event of illness or injury requiring emergency medical aenon and I cannot be contact-

ed, I hereby authorize the camp sta to act for me according to their best judgement. I understand that by signing this, I forever

relieve the school and camp sta of any responsibility for any illness or injury that may occur during camp.

Parent Signature: ___________________________________ __ Date: ____________________ _

Camper TShirt Size: Y Small Y Med Y Large Adult S Adult M

Please detach and return completed registraon form along with check for $75.00 made p ayable to:

West Central High School

5506 50 Street

Rocky Mountain House, AlbertaT4T 1W7

BASKETBALL CAMP 20AUGUST 12-16

LOCATION: WEST CENTRAL HIGH SC

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For more information contact:

West Central High School

Justin Klein

Sr. Boys Basketball Coach

Phone: (403) 845-3711

Fax: (403) 845-7475

E-mail: Justin.klein@wrsd.ca

Assistant Coaches

This year Coach Klein will be joined by as-

sistant coaches to help campers as they de-

velop their basketball fundamentals and a

love for the game.

If any coaches wish to come and observe to learn

a few new drills and methods of teaching various

techniques you are more than welcome.

Camp Highlights

Scenic Rocky Mountains oers numerous hiking and biking trails through majesc

forests and rivers ideal for canoeing and kayaking enthusiasts. Prisne lakes with

campgrounds and sandy beaches are within minutes of town. Rocky Mountain

House itself oers a public swimming pool with waterslide and hot tub as well as

a theatre, museum and weekly Farmers Market. It doesnt take long for newcom-

ers to get caught up in the spirit of the West Country. No wonder Rocky Mountain

House is known as the place Where Adventure Begins. For more informaon

about accommodaons available in the Rocky Mountain House area log on to

www.rockymtnhouse.comor call the Rocky Chamber of Commerce at (403)845-

5450.

West Central High School at Confuence Campus

Rocky Mountain House, Alberta.

The camp will run daily from 10 am to 3 pm with a 1 hour

lunch for players 11 to 14 years of age.

The primary goal is for each player to be put in a situaon

where he/she has the maximum opportunity to improve

basketball abilies and have fun.

There will be daily instrucon on the fundamentals of bas-

ketball to help campers develop their motor skills, team-

work abilies and condence levels.

Coach Jusn Klein

Sr. Boys Coach At WCHS

NCCP Level 2 Basketball Coach

Worked With Basketball Alberta Regional Training Centres

4 Year College Basketball Career