Sign up for Kirksville girls summer basketball camp

Player Name Player Player Phone Number


_____________________________________________________ ____________________________________

Parent Name Parent Phone Number



T-Shirt Size: Youth S Youth M Youth L Adult S Adult M Adult L Adult XL

I hereby request that my child be admitted to the Kirksville High School girl's basketball camp. I hereby authorize and direct the staff to exercise and act in their best judgment in the event of a medical emergency regarding my child. I also hereby confirm that my child is covered by accident and/or health insurance, which provides coverage for any injury. I agree to indemnify and hold harmless Sara Williams, the camp staff, Kirksville School District and its agents and employees, from and liabil-ity or action arising from or related to my child's enrollment and/ or participation in the camp.

For more information or to register

Go to Kirksville High School website or call KHS.

Phone: 660-665-4631

Contact Person: Sara Williams

Camp is for girls entering 3rd - 12th Grade

It is an instructional camp designed to teach offensive sets and defensive sets that will be utilized for other camps/shootouts this summer. Focus will also be on individual skill work and fundamentals as well as communication and teamwork

Camp Fee: $30 for individuals signed up by May 31, $40 at the door

Each camper will receive a camp T-shirt

Location: Kirksville Primary School


Grades 3 -5 9:00-10:00AM

Grades 6 - 8: 10:15-11:45AM

Grades 9 - 12: 12:00Pm-2:00PM

Mail form and Camp Fee to:

Attention: Sara Williams

Kirksville Senior High

1300 South Cottage Grove Avenue