|
Camp #1 |
Camp #2 |
|
June 29-July 3,
2009 |
August
10-14, 2009 |
Camp Director
(Coach Glenn Dolton)
Coach Dolton is a graduate of Phil-Mont Christian Academy and Messiah College. He is the former Head Boys Basketball Coach at William Tennent High School and the current Assistant Boys Basketball Coach at Phil-Mont Christian Academy.
Camp Philosophy
All campers will be taught basic fundamental skills with an emphasis on individual instruction. Campers of all skill levels are welcome. All instructors will challenge and instruct campers in a positive manner.
The fee for all camps is
$120. If there are two or more campers per family, there will be a $5 discount
per camper. There will be a $15 discount for registering for each additional
camp. The fee includes a T-shirt and all camp
activities. Campers must provide their own lunch!
REFERRAL DISCOUNT - Receive $5 back for each new camper you refer!
(The person giving the referral must be noted on the new camper’s registration form!)
Call Coach Dolton @ 215-284-9695
--------------------------------------Detach and Return with payment----------------------------------------
Every athlete must present a completed Insurance Waiver in order to participate in any of the activities organized by The Glenn Dolton Basketball Camp. IT IS OUR UNDERSTANDING THAT THE GLENN DOLTON BASKETBALL CAMP, ITS’ STAFF, AND THE ORGANIZATION PROVIDING THE FACILITY WILL NOT ASSUME RESPONSIBILITY OR OBLIGATION FOR ANY MEDICAL BILLS OR DEBTS RESULTING FROM ANY INJURY TO THE NAMED PLAYER WHILE PARTICIPATING IN THE GLENN DOLTON BASKETBALL CAMP.
We do/ do not (circle one) have private insurance for _________________________________ (Print Name of Athlete)
_________________________________(Name of Insurance Company)___________________ (Policy Number)
_________________________________ (Signature of Parent/ Legal Guardian) ____________(Date)
_____________________________________________________________________________________ (Address)
________________________________________________________________________________ (Phone Number)
REGISTRATION FORM
Camper Name ____________________________ Age _____ Entering Grade _____
Address ____________________________________________________________________________
Home Phone Number ___________________Emergency Phone Number ________________________
Email Address: __________________________ Shirt Size (Adult) S M L XL
Camp(s) you are registering for: ______ PMCA ______ Davisville
Referred by: ____________________
Make payment to: Glenn Dolton Basketball Camp - 625 Topsfield Road - Hatboro, PA 19040
Print this form and send it to the above address