Multiple Teams · Jefferson to Hold Boy’s Youth Basketball Camp for Grades 3-8


Who: Any boys entering 3rd thru 8th grade in the fall of 2017

What: The purpose of the camp is to introduce and teach the basic fundamentals of
basketball. This includes the fundamentals of dribbling, shooting, and moving with and without the basketball.

Where: Jefferson High School and Jefferson Middle School Gymnasiums

When: Monday, June 5 – Thursday, June 8, 2017
9:00 am to 12:00 pm

Staff: Camp Director: Robert Faulkner, Varsity Boys Coach
Instructors: Jefferson Coaches and Players

Cost: $40.00 (cash or check) Please make checks payable to: Jefferson Athletic Boosters

Registration: Enclose the registration form and fee in an envelope and send it to:
Jefferson Area High School
Attention: TJ Furman
207 W. Mulberry St.
Jefferson, OH 44047

Please return registration by Friday May 31, 2017.

Miscellaneous: You may bring your own water or beverage. There is no concession stand.

For more information, email Coach Faulkner at or

Cut and Return————————-REGISTRATION FORM——————————————–
Player’s Name:________________________ Grade in Fall of 2017 _______________
Address:_____________________________ City:________________ Zip________
T-Shirt Size (Circle One) YL S M L XL
List two emergency contacts and phone numbers:
Name:____________________________ Phone # :_____________________________
Name:____________________________ Phone # :_____________________________
I give my son/daughter permission to participate in the Jefferson Basketball Camp. I hereby waive and release Jefferson Basketball camp from any and all liability stemming from any injuries or illness incurred while at camp. I have no knowledge of any physical impairment which would be affected by the above camper’s participation in the camp program.

Parent/Guardian signature:_____________________________ Date:_____________________