2016 LION HOOPS SCHOOL

BOYS SUMMER BASKETBALL CAMP

CAMP DIRECTOR: TYLER WITKOWSKI
STAFF:
LOMIRA SCHOOL DISTRICT COACHES
COUNSELORS:
LOMIRA HIGH SCHOOL VARSITY BASKETBALL PLAYERS
CAMP PHILOSOPHY
INTRODUCTION TO AND IMPROVEMENT OF FUNDAMENTAL BASKETBALL SKILLS.
CAMPERS WILL LEARN AND PARTICIPATE IN DRILLS AND GAMES TO CHALLENGE THEIR
SKILLS AND TALENTS IN A POSITIVE AND CHALLENGING WAY.
Session 1 = June 13, 15
Session 2 = June 20, 22
Session 3 = June 27, 29
2:15pm - 4:00pm
GRADES 4, 5 & 6
NEXT YEAR'S GRADE

12:15pm - 2:15pm
GRADES 7, 8 & 9
NEXT YEAR'S GRADE

COST:
1 Session = $30.00 and includes a LOMIRA LIONS SHOULDER BAG and CAMP T-SHIRT
2 Sessions = $45.00
3 Sessions = $55.00
WAIVER FORM
CAMPER'S NAME:____________________________

GRADE:______

I enter my son in the LION HOOPS SUMMER CAMP and accept full responsibility for liability
and cost of treatment for injury to the above registered person. I release the coaches and Lomira
Public Schools from all liability and agree to hold them blameless for any injuries and/or damages
my child may sustain. I also give permission to seek medical treatment for my son if the need
arises.

PARENT'S SIGNATURE:__________________________________________________
This must accompany the campers registration
Please Check Sessions you wish to attend:
Session 1 = June 13, 15
_________
Session 2 = June 20, 22
_________
Session 3 = June 27-29
_________

2016 LOMIRA HOOPS SCHOOL

DATES:
Session 1 = June 13, 15
Session 2 = June 20, 22
Session 3 = June 27-29

EQUIPMENT NEEDED:
Basketball shoes, shorts, sweat sock, and T-shirt.
It is suggested that you leave all valuables at home,
Since the camp will not be responsible for any lost
articles.
Basketball will be provided.

TIMES:
2:15pm-4:00pm
GRADES 4, 5, 6

LIABILITY WAIVER
The form must be filled out before players will be
allowed to participate. The school and coaches will
not be responsible for injuries.

12:15pm-2:15pm
GRADES 7, 8, 9

FACILITIES
The Lomira High School Gym will be used for camp.

QUESTIONS
Please call Tyler Witkowski at
269-4396 ext 166 school
twitkowski@lomira.k12.wi.us

REGISTRATION
NAME:__________________________________
NEXT YEAR'S GRADE:____________
PARENT'S NAME: ________________________________________
ADDRESS:_____________________
CITY:_____________ ZIP:_____________
PHONE:_____________________________________________
EMAIL:______________________________________________
T-SHIRT SIZE

Youth M

Youth L

WRITE CHECKS TO: Lomira Boys Basketball.

MAIL TO: Tyler Witkowski
990 W. Acorn Drive Lomira 53048
OR Mail to School or Drop it off High School Office
Registration Deadline: June 3, 2016

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