St. Anthony High School

BASKETBALL & BOOKS YOUTH CAMP APPLICATION

St. Anthony High School is hosting its Third Annual Darrick Martin Basketball & Books Day Camp on August 3-7. The free camp is open to students aged 7 through 17 years of age. Basketball skills are taught by NBA professional Darrick Martin, St. Anthony's Class of '88, but instruction also focuses on life skills such as goal setting, nutrition, study, computers, and college readiness. Camp begins at 8 a.m. from Monday through Friday and ends at 2:30 p.m. Lunch is provided. Parents may apply online at www.longbeachsaints.org, or by contacting St. Anthony's at 562-435-4496. Enrollment is limited. Applications must be received at St. Anthony's by Friday, July 24th.

Please complete the form below. Mandatory fields marked *

Information

* APPLICATIONS MUSTS BE RECEIVED BY JULY 24, 2009 FOR CONSIDERATION.
Name *
Telephone # *
Address *
Age * Sex * Height * Weight *
School Name *
Grade Level *
Name of Parent/Guardian *
Parent/Guardian Telephone # *
Emergency # *
How did you find out about Darrick Martin's Basketball & Books Youth Camp? *
Why do you want to be selected to attend? *
What is your favorite subject in school? *

List the name and telephone number of a personal reference

Name *
Telephone # *

PERMISSION TO RELEASE

Date *
Student's Name * Age *
Address *
City * Zip Code *
I give permission for my son/daugther to be to be picked up at the end of camp day or in case of emergency by:
Name *
Relationship *
Telephone *
Name
Relationship
Telephone
*By checking this box, I certify I am a Parent/Legal Guardian of the above student