Presenting:Lamonte Thomas & Friends

Basketball Camp 7 x overseas pro, 2 x NCAA leading scorer,

and All-American, alongside other current pros and ex-collegiate athletes.

A three-day training & skills camp for teens:

July 1 - 3, 2019 9am - 3pm

Fee: $60*A three-day training and skills camp open to boys and girls ages 13-18. Participants will receive on and off the court training, including: conditioning, team building activities, skill development drills, conflict

management skills and more.

*All participants must be a current member of the Boys & Girls Club of Pawtucket for the entire duration of the program. Lunch will be included.

For more information please visit:www.bgcpawt.org or call 401.722.8840.

To learn more about the Boys & Girls Club of Pawtucket and all of our programs and services, please visit our website at: www.bgcpawt.org or contact us at 401.722.8840. To keep up-to-date on all the exciting things happening at the Club, follow us on our social media accounts below.

Boys & Girls Club of PawtucketOne Moeller Place

Pawtucket, RI 02860

401.722.8840

Date: _______________

Name: ______________________________________________________________________ Birthdate: ___/___/_____ First Last

Address: _________________________________________________________________________________________

City: ____________________________________________ State: ___________________ Zip: ___________________

Primary Contact Name: ______________________________________ Relationship to member: _________________ Please check preferred method for emergency contact.

Cell: ( ____ )____________ Work phone: ( ____ )___________ E-mail: ______________________________All communications will be sent to the Primary Contact listed on the Membership Form. To update this information, please complete the Member Update Form available at the Front Desk at the Boys & Girls Club of Pawtucket.

Secondary Contact Name: ____________________________________ Relationship to member: ________________Please check preferred method for emergency contact. Cell: ( ____ )____________ Work phone: ( ____ )___________ E-mail: ______________________________

Please list any new medical conditions since most recent membership renewal: ______________________________________________________________________________________________________________________________

*ALL participants must have a Boys & Girls Club of Pawtucket membership for the duration of the program: $40.00 Pawtucket & Central Falls Residents/$60.00 Non-residents.

All participants must have a current Boys & Girls Club of Pawtucket membership for the duration of the program. Registration fees are non-refundable. By signing below, I acknowledge that my child has permission to participate in the Lamonte Thomas & Friends Basketball Camp at the Boys & Girls Club of Pawtucket and both my child and I understand and will comply with all Club rules and camp rules.

______________________________________________________________________ _________________Parent/Guardian Signature Date

For Office Use OnlyMembership Verified: Yes No Verified By: ___________

Registration Fee Paid: Yes No Received By: ___________

Lamonte Thomas & Friends Basketball CampRegistration Form

July 1 - 3, 20199am - 3pm

Registration Fee*: $60.00

A three-day training and skills camp open to boys and girls ages 13-18. Participants will receive on and off the court training, including: conditioning, team building activities, skill development drills, conflict management skills and more.

Please Return Registration Form & Payment to:Boys & Girls Club of Pawtucket

One Moeller Place, Pawtucket, RI, 02860