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Sign up for Bulldog Buddies Basketball Camp

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BULLDOG BUDDIES

Saturday October 28th 2017

6;30-9 p.m.

Perhing Arena

Boys 1st-5th Grade

'Girls 1st -8th Grade

Cost $40.00

  • Contests & Games
  • Food and Snacks
  • Dunk & Autograph Session with Truman Players
  • Bulldog Buddies T-Shirt
  • Subscription to Bulldog Buddies Newsletter
  • Recognized at half time of Home Game (12.2.17)
  • Free Admission to 13 Men’s Home Games!

**Send Registration Form and Payment to:

Truman State Basketball | 314 Pershing Arena| 100 Normal Ave | Kirksville, MO 63501

You can also register online. http://www.trumanstatebasketball.com/ Please call 641-231-1561 or email gpeterson@truman.edu with any questions.

Camper(s) Name:

Parents’ Names:

Other Campers in your group for Team Discount:

Home Address:

Family E-Mail Address:

Phone Number: ( ) _______ T-Shirt Size (Indicate Youth Sizes): _________ Grade Entering Fall 2017: _______

School:School Coach’s Name:

School Coach’s Phone Number and E-mail Address: ( ) /

Parental Statement/Insurance Information Release Form:

I authorize the Truman State University Truman Basketball Day Camp/Truman State University to obtain medical care or treatment for the named participant in the event of a medical emergency or if a non-emergency treatment is required and I cannot be reached to provide consent. I release Truman State University Truman Basketball Day Camp/Truman State University from all claims resulting from illness, injury, accident sustained by participant thereby permitting participant to take part in the Basketball Camp on the campus of Truman State University.

Print Name:

Signature: Date:

Courtesy Truman State University

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