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BELLEVUE UNIVERSITY JUNIOR BRUINS Saturday Afternoons October 16, 23, 30 Lozier Athletic Center Grades K-8. 9:00am - 11:30am Performance During Halftime of Grace game Nov. 2, 2010 COST = $50

Learn the Fundamentals of Basketball from the 2010-2011 Bellevue University Men’s Basketball Team and Coaching Staff - Shooting, passing, ball handling, and rebounding will be given instruction time. - All participants will be grouped acccording to age. - Receive a Junior Bruins T-Shirt. - Receive a Junior Bruins Season Basketball Pass that gets you in free to all home games. - Perform at halftime during a Bruins game. - Junior Bruins is open for boys and girls in grades K-8. Contact the Basketball Office for more information: Head Coach Shane Paben: (402)-557-7053 or Assistant Coach Bob Ludwig: (402)-557-7461 _____________________________________________________________________________________________

REGISTRATION FORM Name___________________________________________ Address_________________________________________ City_____________________ State _____Zip_________ Phone__________________________________________ Age ____________________________________________ Grade___________________________________________ T-Shirt Size - Youth - M L Adult -

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***A $25 non-refundable deposit is required to solidify your son/daughter’s spot at the clinic. ***Please make checks payable to: Shane Paben; Bellevue University Men’s Basketball

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Parent / Guardian Consent Form I, the undersigned, as the parent or legal guardian of a minor child, _________ __________, hereby acknowledge that the aforenamed child is covered by medical insurance. It is further understood that the Bellevue University Basketball Clinic does not provide medical insurance for this camp. The undersigned hereby releases Bellevue University and its staff from any and all claims, demands, and causes of action whatsoever in any way growing out of or resulting from participation by the aforenamed child in the Bellevue University Basketball Camp. ______________________________ Signature of Parent / Guardian ____________ Date


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