2016-2017 CSCC Men's Basketball Youth Basketball Camp Registration

Email address *

CSCC MEN’S BASKETBALL YOUTH BASKETBALL CAMPS

Cleveland State Men’s Basketball Coach Lee Cigliano, along with guest coaches, will be conducting a youth Basketball Camp this summer, on the campus of Cleveland State Community College, in the L. Quentin Lane Gymnasium.

Campers (Ages 6-15 years old) will learn the basic fundamentals through individual drills and team play. Along with the four days of instruction, campers will also have opportunities to improve their skills through contests and games.

The Camp session will be held Monday, July 10 ^th through Wednesday, July 12 ^th from 9:00 am to 4:00 pm for the full session, 9:00 am to 12:00 pm for the morning session and 1:00 pm to 4:00 pm for the afternoon session.

The cost of the Camp is $100.00 for the full-session, and $60.00 for either the morning session or the afternoon session, which includes a Camp T-Shirt.

Pre-register by using this form, or arrive at the L. Quentin Lane Gymnasium 30 minutes prior the first day of the Camp session.

Name of Camper *

Camper's Address *

Camper's Age and Birthdate *

Parent's/Guardian's Name *

Home Telephone Number *

Parent/Guardian Work Telephone Number and/or Cell Phone Number *

Emergency Contact *

Emergency Contact Telephone Number *

School Camper Attends *

T-Shirt Size (Youth Small - Adult XL) *

Camper Will Attend the Full-Session - 9:00 am - 4:00 pm - $100.00 (Yes or No) *

Camper Will Attend the Morning-Session - 9:00 am - 12:00 pm - $60.00 (Yes or No) *

Camper Will Attend the Afternoon-Session - 1:00 pm - 4:00 pm - $60.00 (Yes or No) *

PLEASE SEND PAYMENT, PAYABLE TO LEE CIGLIANO, TO:

Cleveland State Community College

c/o Lee Cigliano

P.O. Box 3570

Cleveland, TN 37320-3570

PLEASE CONTACT LEE CIGLIANO AT (423) 614-8706 OR LCIGLIANO@CLEVELANSTATECC.EDU WITH ANY QUESTIONS OR FOR MORE INFORMATION

* required field