Northfield Basketball Camp

2012 Northfield Girls’ Basketball Clinic


Northfield girls basketball coach Courtney Cervenka will be conducting a basketball clinic from May 29-June 2 in the east gym at Northfield High School.  The clinic will not meet on Memorial Day (May 28); however, the clinic (all campers regardless of age) will conclude on Saturday, June 2 from 8-10am.


Cost is $30 for the first child and $20 for all others in the same family.  Checks should be made payable to “Northfield High School.”  Clinic forms may be picked up at the NHS, Metro Elementary or Sharp Creek offices.  Forms should be sent to NHS c/o “Girls’ Basketball Clinic” by May 23 or handed in the first day of the clinic.


Any girl entering grades 2-8 may attend.  Those entering grades 2-5 will meet from 11:00am-12:30pm each day.   Those entering grades 6-8 will meet from 9:30am-11:00am.  Everyone will meet on Saturday from 8-10am.

2012 Northfield Girls’ Basketball Clinic

Name:     _______________________________   Age:        ________

Address: _______________________________    Grade:______(2011-12)

City:                _______________________________    Zip: ________


Parents’ names:            _________________________________

Contact number(s):       (______)_________________________


Contact person in case of emergency:      ______________

Phone #:       ______________


Date:          May 29-June 2, 2012   Note:  Camp will not meet on Memorial Day

(May 28, but will meet on Saturday, June 2).


Time:         Incoming grades 6-8    9:30-11:00am

Incoming grades 2-5    11:00am-12:30pm


Cost:          $30 for first child/$20 for others in same family

-checks payable to “Northfield High School”


Location:            Northfield High School – East Gym

General Info:      wear t-shirt, shorts and gym shoes


I, ____________________, understand that injury in possible and in the event that my daughter is injured, I will not hold Northfield High School, Coach Cervenka, or any others helping with the clinic liable for any injuries which might occur to my daughter while at the clinic.


My daughter will cooperate with the coaching staff in a respectable manner.


Signed: _____________________________    Date:  ____/____/12


Please mail or return this form to the NHS Office by Wednesday, May 23, 2012

c/o Coach Cervenka or turn it in the first day of the clinic with your check attached.  Please note:  you will not receive a t-shirt if we do not receive payment by Wednesday, May 23, 2012.


T-Shirt size:      Youth:        ____S          ____M                   ____L           ____XL

Adult:         ____S          ____M                   ____L           ____XL        ____XXL

(Please check one from each category – youth and adult)

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