Standley Lake Youth Basketball Camp

Who: Boys and Girls

When: June (this has been done for a number of years)

Location: Standley Lake High School, 9300 W 104th Ave, Westminster

Camp Information:

* Registration Fee: $65
* Camp Times - 9-11 Grades K-5th
      12-2 Grades 6th-9th
* Camp Features
     Individual instruction from current Gator coaches and players
     Defensive principles
     3 on 3 Games
     Competitions
     Basic skill and drills various aspects of the game
     Learn how to "Play Like a Gator"
* What to Bring
     Basketball with camper's name
     Water bottle
     Great attitude!
* Camp t-shirts will be on sale at the camp for $10.  Per JeffCo policy, t-shirt payment must be separate from camp fee.
* For more information, visit us on the web at www.standleylakebasketball.com
* All skill levels and experience welcome!

Camp Director:
Mike Puccio
Standley Lake Head Coach
Colorado Chaos Basketball Club
CSU-Pueblo, I.B.L., ABA

Camp Coordinator:
Brett Cloepfil
Standley Lake Varsity Assistant
Colorado Chaos Basketball Club
CSU-Pueblo

Assistant Camp Director:
Tyson Schrecengost
Standley Lake Junior Varsity Coach
Boulder Titans Basketball Club

Contact information:
Mike Puccio
standleylakebasketball@hotmail.com

Essentials of the Standley Lake Basketball Camp Registration Form:

Camper's Name ________________________
School _______________________________
Grade (2011-12) _______________________
Parent/Guardian Name(s) ____________________________
Address _____________________________
City _________________________________
State ________________________________
Zip __________________________________
Phone _______________________________
Email ________________________________
Emergency Contact Name ___________________________
Emergency Contact Phone ___________________________
Insurance Company ________________________________
Policy Number _____________________________________

I/we hereby authorize the camp staff to act for parent/legal guardian according to their best judgment in any emergency requiring medical attention.  In case of an emergency, the parent/legal guardian will be notified immediately.  The parent/legal guardian further agrees to waive and release Jefferson County Schools for any injuries, losses, or damage while at the camp and from and all liabilities therein.  I/we fully understand that the Jefferson County Schools do not provide any accident or health insurance coverage while participating in the camp.  I fully understand that it is my/our responsibility to provide insurance coverange for my son/daugter.

Parent/Guardian Signature _______________________________________

Please fill out this entry form and send it with a check or money order made out to Colorado Icons Basketball Club to: Standley Lake School, Attn: Mike Puccio, 9300 W. 104th Avenue, Westminster, CO 80021.  Entry fee is $65.