All payments must be sent in by

mail.
No cash please.
Early registration by mail: $75
Late registration day of camp: $85
or $25 a day
Make checks payable to or
NPBPGC
Mail in checks to:

LADY WOLFPACK

Attn. Coach Green

300 North Paulding Dr
Dallas GA 30132

Basketball Fundamentals

Offensive Fundamentals

Defensive Fundamentals

Offensive and Defensive Footwork

Rebounding

5 on 5 team spacing and movement

Shooting fundamentals

NORTH PAULDING HIGH SCHOOL

300 North Paulding Drive
Dallas, Georgia 30132
770-443-9400

NorthPauldingBasketball.net

Camp Registration Form

Purpose
The purpose of the North
Paulding High School Basketball Summer Camp is to give
each camper the opportunity
to learn and develop their
basketball skills. Each camper will have a chance to
learn as much as they can
about basketball with the
help of our coaches and
basketball players.
Our goal is to provide each
camper with a suitable
and enjoyable atmosphere
in which they can learn
yet still have fun.

Mail In
Instructors:
High school basketball coaches
and current high school players
Time:

8 a.m. to Noon
Dates:
June 15th
through June 17th

Participant Name:___________________
Age:__________ DOB:_____________
Grade (2015-2016) school year):______
Parent Name(s):____________________
Address:__________________________
_________________________________
Home/Cell Phone:___________________
Email:____________________________
Work Phone:_______________________
*Insurance Information
Name on Policy:____________________
Company:_________________________
Policy Number:_____________________

Location:
NPHS Gym

Items required

Basketball shoes

Water bottle
with name on it

Snacks

Gym clothes

Each participant
will receive a
Wolfpack t-shirt .
Fill out shirt size
on registration
form.

Waiver: The above participant is in good

health and has my permission to participate in
this camp. In case of emergency, I hereby
give permission for my child to be given emergency medical treatment by on-site medical
professionals, a local doctor. Hospital, or dentist and hereby waive and release said camp
from any and all liability from injuries incurred
while attending camp and payment of said
services are the total responsibility of the parent.
Parent Signature:___________________
Date:_____________________________

Shirt sizes

Circle one:
Youth
Adult
Check one: S___ M___ L___ XL___