2009 Bronco Camp

Instructor: Scott Bacon, Head Varsity Basketball Coach. Coach Bacon has just completed his 3rd season at Cerro Gordo, and 11th season overall. In 3 seasons at CG he has compiled a 57-27 overall record (.679). The Broncos this season just completed bcak-to-back 20 win seasons and conference championships. Coach Bacon also works the University of Illinois Basketball Camps in the summer with head coach, Bruce Weber.

Who: Boy's entering the 2nd through the 6th grade in the fall of 2009
When: June 8th, 9th, & 10th. (Monday-Wednesday)
Where: Cerro Gordo GRADE SCHOOL Gymnasium.
Times: 2nd/3rd: 9-1030am 4th, 5th, 6th: 1030-12pm

Cost: Early Sign-up: $25 (If signed up by April 17th)
$35 if sign up from April 18th-June 8th
($10 discount for more than one in the same family)
Example: 1st player = $25, 2nd = $15, 3rd = $15, etc.

*Late sign-ups are not guarenteed a t-shirt*

High School Camp: June 1st, 2nd, 3rd, 4th, & 5th
Freshman & Sophomores: 12-130pm Varsity: 130-330pm
Cost: $25 per player. ($10 discount for more than one in the same family)
Example: 1st player = $25, 2nd = $15, 3rd = $15, etc.

Free to all VARSITY players that work 2nd-6th grade camp

Questions: Call Coach Bacon at 763-2711 ext. 108

PLEASE RETURN FORM, WITH PAYMENT,
TO SCOTT BACON OR ANY OF THE SCHOOL OFFICES

Printable Form: ___________________________________________________________________________________________________

Camp Participant

Name: _______________________ Parents Name: ___________________________

Address: __________________________________________ Grade Entering (Fall 09): ____

__________________________________________ Parent's Email:______________________

Phone: ______________ Cell: _____________ Work: _____________ Emergency: ______________

Shirt Size: CHILD Sm __ Med __ Lg __ ADULT Sm __ Med __ Lg __ XL __ XXL __

Insurance Waiver

I understand that my son is NOT covered by any medical/accident insurance by Cerro Gordo School District #100, and that I as parent / guardian am responsible for medical/accident insurance. My sons' own medical insurance will be used as the primary coverage needed; and I will not hold Cerro Gordo School District #100 or its employee�s responsible for any insurance coverage that might occur during the summer Camp Program.
Signature of Parent / Guardian:
____________________________________________________
Signature of Student:
_____________________________________________________
Date:
_____________________________________________________
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