Union Pines High School

Summer Basketball Camp

WHAT: Summer Basketball Camp

WHO: Boys & Girls rising 3rd – 9th graders

WHEN: June 13- 16 from 8:30 am to 12 pm

WHERE: Union Pines High School Gymnasium

COST: $55 per camper

REGISTRATION: Pre-register (form below), or register on site June 13th

Staff: Jimmy Sineath, Tony Wilson, Eric Marion, Henry Douglas, Shawn DeJohn, David Demolet, Jerry Bennett II

*Camp Skills Specialization: Ball Handling, Shooting, Passing, & Defense

Complete and return to UPHS: Attention: Coach Boney, 1981 Union Church Road, Cameron, NC 28326. Include your cash or check payment (checks made payable to UPHS Boys Basketball) Campers should plan to wear appropriate basketball gear!

For more information contact Coach Boney @ UPHS 947-5511 or email

NOTE: All parents must complete & sign the medical waiver @ registration the 1st day of the camp in order for your child to participate!

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2016 UP BASKETBALL Camp REGISTRATION FORM

Camper Name:______2016-2017 Grade Level: ______

T-SHIRT SIZE: YOUTH XL ADULT S ADULT M ADULT L ADULT XL ADULT XXL

Address: ______

Parent/Guardian Email: ______

Emergency Contact: ______

Emergency Contact Phone Number: ______

Parent/Guardian Print Name ______

Parent Guardian Signature ______ Date______