Blue Devil Summer Basketball Camp Dates 2009 

- 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
  Evening Youth Camp (Commuter) 1st-6th May 18-21 $65  
  Girls Drills, Skills & Leadership Camps 7th - 12th June 7-11 cancelled  
  Boys Drills, Skills & Shooting Camp 7th - 12th June 12-14 $170/$140  
  Boys Drills, Skills & Leadership Camp 7th - 12th June 14-18 cancelled  
  Girls Drills, Skills & Shooting Camp 7th - 12th June 19-21 $170/$140  
  Boys/Girls Combo Drills & Skills 7th - 12th June 21-24 $280/$240  
  Girls Drills, Skills & Team Camp 6th - 8th June 28-July 1 $280/$240  
  Boys Drills, Skills & Team Camp 6th - 8th July 19-22 $280/$240  
  Boys/Girls Combo Drills & Skills 7th - 12th July 23-26 $280/$240  

Registration Form
Campers Name Home Phone
Home Address   E-mail Address  
City   State   Zip  
Grade (as of 9/09)   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 2009 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