Ichiban

Coach Gene Watts’

Annual Holiday Hoops Camp

INFORMATION

Date: December 21-22, 2011

CAMP LOCATION:

Barnett Junior High

2101 E. Sublett Rd Arlington, TX. 76018

GRADES: K-9th

SESSIONI: 9:00-12:00pm

SESSION II: 1:00- 4:00pm

COST

$75 for 1 Session

 

NAME: _____________________________ GRADE: _____________ AGE: _______

 

Parent’s Name: ___________________________ Cell # _____________________________

 

Address: _____________________________________________________________________

 

Email: _______________________________ Student’s T-shirt size: ____________________

 

Emergency Contact: Name: ___________________________ Cell # _____________________

 

Medical Release Forms: on-line at www.teamichiban.com

 

Payments can be made on-line or mailed to:

Eugene Watts

4925 Oak Nut Circle

Grand Prairie, TX. 75052

 

Please make checks payable to Eugene Watts