Summer Camp July 12, 2011 to August 19, 2011:
Full Day 9am - 4pm or Half Day 9am - 12pm. Ages 6 - 17.

Location: Jeunes Sans Frontieres School, 7585 Financial Drive, Brampton

Each week camp starts at 9am and ends at 4pm. There is a one hour lunch break. Campers should bring their own lunch and remain on the premises.

Our goal is to provide a fun introduction to basketball for the new player and a higher level of development for the more experienced player. Our program is designed to teach basketball fundamentals including ball handling, shooting, agility/footwork, and defense. In addition to skills development and fundamental training athletes will be involved in skills competition and team play! At the end of each week athletes will receive a basketball reports card that will highlight their individual strengths and weaknesses.

All campers will receive an official Hoopsskool or Wolverine T-Shirt.

The 7 values of the Mississauga Wolverines are:

1. A passion for the game
2. Spirit
3. Inclusiveness
4. Respect
5. Diversity
6. Commitment
7. Accountability


Registration Form: Please complete the form below and submit.

Program:
Summer Camp - Full Day (6 - 17 yrs) I Week: 9am - 4pm - $200.
Location: Jeunes Sans Frontieres School
   
Summer Camp - Full Day (6 - 17 yrs) II to VI Week: 9am - 4pm - $225.
Location: Jeunes Sans Frontieres School
   
Summer Camp - Half Day (6 - 17 yrs): 9am - 12pm - $150.
Location: Jeunes Sans Frontieres School
   

Information type

Family Guardian

Parent/Guardian 1:  
Relationship: Mother Father Other
Salutation: Mr. Mrs. Ms. Other
Last Name:
First Name:
Home Telephone:
Business Telephone:
Cellular Telephone:
Fax Number
Email:
Parent/Guardian 2:  
Relationship: Mother Father Other
Salutation: Mr. Mrs. Ms. Other
Last Name:
First Name:
Home Telephone:
Business Telephone:
Cellular Telephone:
Fax Number:
Email:
Secondary Contact (if above cannot be reached):  
Name:
Telephone Number:
Relationship to Participant:
Mailing Address of Family:  
Street:
City:
Postal Code:
Billing Address:
(If it is the same as mailing address, please enter the word "same" in every field.)
Street:
City:
Postal Code:
Phone Number:
Athlete Information:  
Surname:
First Name:
Commonly Used Name:
Sex: Male Female
Birthday:
Health Card Number:
Previous Basketball Experience (if any):
Uniform Size:

Youth: S M L XL

Adult: S M L XL XXL

Medical Information:  
Height (inches):
Weight (lbs):
Allergies:
Requires an Epi-Pen: Yes No
Immunizations Up to Date: Yes No
Is the athlete taking any prescription medication: Yes No
Please list any other medical concerns:
Doctor's Name:
Doctor's Telephone:
Please read the medical waiver.  
By checking this box, I am stating that I have read and agreed to the above medical waiver: Date:

Conditions of Registration:

  
Please read the terms and conditions.  
By checking this box, I am stating that I have read and agreed to the terms and conditions: Date:

Media Release:
I wish to support the Mississauga Wolverines, a non-profit organization. I allow photographs to be taken of my son/daughter playing basketball in order to support their multi-media promotional requirements for photographs, brochures, website and other marketing materials.

By checking this box, I am stating that I have read and agreed to the above media release. Do not check the box, if you do not wish to provide media release.
Date:

*THIS APPLICATION MUST BE COMPLETED IN FULL BEFORE BEING CONSIDERED.

*PLEASE SEND PAYMENT TO: P.O. Box 906, 145 Queen St. South, Mississauga, ON., L5M 2L0

*APPLICATION WILL NOT BE CONSIDERED UNTIL APPROPRIATE FEES ARE RECEIVED.