2024 2nd-5th Grade Summer Skills Academy Session #1, June Registration

SUMMER SKILLS ACADEMY SESSION 1: JUNE

INCOMING 2ND-5TH GRADES

Sessions from 12:00 pm-1:30 pm

Wednesday, June 5th & Thursday June 6th

Wednesday, June 12th & Thursday June 13th

Wednesday June 19th & Thursday June 20th

Sessions from 10:00 am-11:30 am

Monday June 24th & Tuesday June 25th

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HELD AT THE

CHESTERTON HIGH SCHOOL MAIN GYM & BALCONY GYM

REGISTER ONLINE BELOW

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AT THE CONCLUSION OF EACH SESSION, CAMPERS CAN BE PICKED UP OUTSIDE THE MAIN GYM ENTRANCE IN THE LOBBY OF CHESTERTON HIGH SCHOOL
Overview:

Players will work on overall skill development along with offensive and defensive concepts. This includes shooting form, ball-handling, passing, and post-work. Players will also learn the Virgil Sweet Free-Throw Method.

Games of 3 on 3, 4 on 4, and 5 on 5, will be utilized to teach offensive and defensive game principles. This includes player spacing, player movement, ball movement, and rebounding principles. They will also learn defensive on-ball and off-ball principles and rebounding.

Session Includes:
- 8 sessions of instruction.
- Reversible jersey

PARENT & GUARDIAN INFORMATION
Guardian / Parents Names*

First NameLast Name
Cell Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*

EMERGENCY CONTACT & HEALTH INSURANCE INFORMATION
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Insurance Carrier*
Insurance Policy Holders Name*

First NameLast Name

RELEASES
As the legal parent or guardian, in the event of illness or accident, I give consent for the Chesterton Girls Basketball LLC, members of the Chesterton High School Girls Basketball Coaching Staff to secure any and all necessary emergency medical care for my child. The undersigned gives permission to Chesterton Girls Basketball LLC., its owners and operators and members of the Chesterton High School Girls Basketball Coaching staff to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I request that my child be transported to Northwest Health Porterl in the event of an emergency. I hereby declare we have listed any physical/mental problems, restrictions, or conditions and/or declare the participant to be in good enough physical and mental health to participate in basketball practice and games.
Yes
SOCIAL MEDIA/WEB RELEASE:
As the legal parent or guardian, I grant permission for the Chesterton Girls Basketball Program to utilize my daughter's photo or video footage to promote the program using various social media outlets and/or websites.
Yes, I grant permission.No, I do not grant permission and wish for her to be excluded.
RELEASE OF LIABILITY:
As the legal parent or guardian, I release and hold harmless Chesterton Girls Basketball LLC, its owners and operators, members of the Chesterton High School Girls Basketball Coaching Staff and Players, and the Duneland School Corporation from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Chesterton Girls Basketball LLC, its owners and operators or in route to or from any of said premises.
Yes
Confirmation E-mail*
Signature*

SKILLS ACADEMY PAYMENT
PAYMENT *
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Skills Academy Payment. Choose number of players from the drop down option $105.00

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PARENT & GUARDIAN INFORMATION

PLAYER #1 INFORMATION

PLAYER #2 INFORMATION

PLAYER #3 INFORMATION

EMERGENCY CONTACT & HEALTH INSURANCE INFORMATION

RELEASES

SOCIAL MEDIA/WEB RELEASE:

RELEASE OF LIABILITY:

SKILLS ACADEMY PAYMENT