Gary Lumpkin's Basketball Clinic

Gary Lumpkin's Fall 2025 Basketball Clinic

Calling all students K-12! Ready to take your basketball skills to the next level? Our high-energy basketball clinic is designed just for you—whether you're building your fundamentals or pushing toward varsity-level play. Led by the William Penn basketball coaches and players, this clinic offers expert coaching, competitive games, skill-building drills, and tons of fun. It’s your chance to train hard, play harder, and make new friends who love the game as much as you do. Don’t miss out on this opportunity to learn from the best!
🗓 Session 1-High School Grades 9th-12th:
Saturday, November 1, 2025
Location: William Penn High School, 713 East Basin Road, New Castle, DE 19720 – Gym 1

🗓 Session 2- Elementary School Grades K-5:
Saturday, November 8, 2025
Location: Kathleen Wilbur School, 4050 Wrangle Hill Road, Bear, DE 19701

🗓 Session 3- Middle School Grades 6th-8th:
Saturday, November 15, 2025
Location: William Penn High School, 713 East Basin Road, New Castle, DE 19720 – Gym 1

🕘 Time: ALL sessions are 9:00 AM – 12:00 PM
Transportation MUST be provided by a parent and/or leagal guardian.

Register now and let’s ball!

Clinic Registration Fees

$50 per student grades K-8th
$75 grades 9th-12th

*Note*
Once we receive your registration, the Clinic Director will send a follow-up email with payment details and instructions to complete your registration.
For more information please contact Ms. Rachel Narcho, Clinic Director,
at rachel.narcho@colonial.k12.de.us

Please complete a separate form for each student—one form per student is required. Dates and locations vary based on the session you select.
Camper Information
Student Name*

First NameLast Name
Student Date of Birth*
Student Age*
K123456789101112
Session 1-High School Grades 9-12: Saturday, November 15, 2025 @ WPHSSession 2- Elementary School Grades K-5:Saturday, November 8, 2025 @ WILBURSession 3- Middle School Grades 6th-8th:Saturday, November 1, 2025 @ WPHS
Camper Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Legal Guardian Information
Parent/Legal Guardian Name *

First NameLast Name
Parent/Legal guardian: Email*
example@example.com
Parent/Legal guardian:Relationship to camper *
Parent/Legal guardian: Phone number (primary)*

Area CodePhone Number
Parent/Legal guardian: Phone number (secondary)*

Area CodePhone Number
Emergency Contact Information
Emergency Contact #1: Name *

First NameLast Name
Emergency Contact #1: Relationship to camper *
Emergency Contact #1: Phone number (primary) *

Area CodePhone Number
Emergency Contact #1: Phone number (secondary)*

Area CodePhone Number
Emergency Contact #2: Name *

First NameLast Name
Emergency Contact #2: Relationship to camper *
Emergency Contact #2: Phone number (primary) *

Area CodePhone Number
Emergency Contact #2: Phone number (secondary)*

Area CodePhone Number
Release Forms
Media Release

I, as the parent or guardian of below-named child, hereby give the camp and its employees, representatives, and authorized third party media organizations permission to print, photograph, and record my child for use in audio, video, film, or any other electronic, digital and printed media.
Media Release: Child's Name*
Parent/Guardian name*
Yes, I agree
First Aid/Emergency Medical Release

I give my permission to the camp staff to administer basic first aid to my child when needed. I also understand that I will be informed of any injuries sustained by my child by phone and/or when I pick him/her up from the program. The health history provided is correct and complete to the best of my knowledge, and the camper described has permission to engage in all camp activities, except as noted on the registration forms.
Dress

To stay safe, comfortable, and ready to play, all students should come dressed in appropriate athletic gear each day:

Athletic T-shirt or Tank Top – Lightweight and breathable material is best.

Athletic Shorts – Comfortable and loose-fitting for ease of movement (no jeans or non-athletic shorts).

Basketball Shoes or Court-Appropriate Sneakers – Supportive footwear is essential for safe play on the gym floor (no sandals, Crocs, or open-toed shoes).

Socks – Athletic socks that provide cushion and prevent blisters.

💧 Tip: Bring a water bottle, and label all personal items with your name!
Electronics

I acknowledge that my child is responsible for any personal belongings that are brought to the camp. In addition, I understand and agree that the camp is not responsible for any personal items, regardless of their value, that may be lost, stolen, or destroyed, even if the item is confiscated while a student is attending the camp.

I acknowledge that cell phones may not be used, must be turned off, and kept out of sight while at the camp. In addition, I understand that personal electronics and other computer devices are not permitted at the. I understand that camp staff can confiscate any device that my child brings to the camp.
Student's Name*

First NameLast Name
permission to engage in ALL clinic activitiesRESTRICTIONS on participation in clinic activities
If you chose restrictions on participation in clinic activities, Please explain why:
Health Information Form
Student Name*

First NameLast Name
Student date of birth*
YesNoOther
Yes (Must bring inhaler to camp)NoOther
YesNoOther
YesNoOther
YesNoOther
YesNoOther
YesNoOther
YesNoOther
YesNo
If yes, please explain:
Information may be shared with appropriate school and clinic personnel for health purposes. By signing below, you give the clinic staff permission to administer the above medication as needed.
Yes, I agree
Signature
Should be Empty:

Gary Lumpkin's Fall 2025 Basketball Clinic

Camper Information

Parent/Legal Guardian Information

Emergency Contact Information

Release Forms

Health Information Form