INDIAN GIRLS` BASKETBALL - Allamakee Community School District

GRADES 5th, 6th, 7th & 8th
JULY 25th - 28th 8 -11 A.M.
WAUKON J.H. SCHOOL GYM
FRESHMEN - SENIORS
JULY 25th - 28th 12 - 4 P.M.
WAUKON HIGH SCHOOL GYM
CAMP SPONSOR: Andy Sires, Head Varsity Coach
ENTRY FORM
NAME______________________ GRADE (As of FALL 2016)______
ADDRESS ___________________CITY ______STATE______
PHONE ______________AGE _____
EMERGENCY PHONE NUMBER___________
T-SHIRT SIZE (CIRCLE ONE) XS S M L XL (adult sizes)
COST $35
(MAKE CHECKS PAYABLE TO INDIAN GIRLS BASKETBALL)
Please return this application form, and full payment by JULY 6TH, 2016
To
Coach SCHOEBERLEIN.
PARENT/GUARDIAN SIGNATURE: _______________________DATE: ________
PLAYER'S SIGNATURE: ________________________DATE: ____________
Please return this completed form
and payment by JULY 6TH, 2016 to:
DAVID SCHOEBERLEIN
436 4TH ST. NE
WAUKON, IOWA 52172
(Cost after JULY 6TH, $40)
IF YOU HAVE ANY QUESTIONS,
MY E-MAIL ADDRESS AT SCHOOL IS:
[email protected]
PLEASE FEEL FREE TO CALL ME AT HOME (568-6284)
OR LEAVE A MESSAGE AT THE HIGH SCHOOL (568-3466)
DUE TO NEW STATE ACCOUNTING REGULATIONS THIS CAMP IS OPEN ONLY TO ALLAMAKEE
COMMUNITY SCHOOL DISTRICT STUDENTS
It is the policy of the Allamakee Community School District not to illegally discriminate on the basis of race, color, national origin, sex, disability, religion,
creed, age (for employment), marital status (for programs), sexual orientation, gender identity and socioeconomic status (for programs) in its educational
programs and its employment practices. There is a grievance procedure for processing complaints of discrimination. If you have questions or a grievance
related to this policy please contact the district’s Equity Coordinator, Gretchen DeVore, Director of Curriculum and School Improvement, 1059 3rd Ave.
NW, Waukon, Iowa 52172, 563-568-3409, [email protected]