Register now for the 3rd Annual Hui O Momilani Basketball Clinic

 

Momilani Elementary School PTSO will hold its 3rd Annual Hui O Momilani Basketball Clinic for grades 1-8 on Saturday, April 20, 2013 at the Pearl City High School Gymnasium.

Registration is now open to sign up your keiki for the clinic that will be instructed by legendary youth basketball coach Dennis Agena along with Hui O Momilani Basketball coordinator / head coach Dwayne Yuen and local high school coaches.

In last year's Hui O Momilani Basketball Clinic, over 170 kids were given the opportunity to learn and improve their basketball skills from some of Hawaii's top coaches.

Please check out the registration information provided below to sign up your youth basketball player.                                                         

                                                             Photo by Barry Villamil | [email protected]

Coach Agena pictured working with clinic participants during the 2nd Annual Hui O Momilani Basketball Clinic held at the Pearl City High School Gymnasium on Saturday, April 14, 2012.

Camp Information:
Saturday, April 20, 2013
Pearl City High School Gymnasium
$50 (includes clinic t-shirt)
Session #1 (Grades 1 – 3): 8:00am – 11:30am
Session #2 (Grades 4 – 8): 12:30pm – 4:00pm

Make checks payable to: Hui O Momilani
Mail registration form to:
Hui O Momilani Basketball Clinic
2130 Hookiekie Street
Pearl City, Hawaii 96782
Please enclose registration fees in Full and turn in no later than April 12, 2013 to get exact t-shirt size.

Questions???
Email: [email protected]
Phone: (808) 864-9113
Website: http://www.momilani.k12.hi.us/
***There will be a $25 processing fee for any refunds prior to the clinic. (April 20, 2013)

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Name:_____________________________________
School_____________________________________
Grade____________ Age___________Male/Female
Address____________________________________
__________________________________________
City________________________Zip_____________
Phone#____________Emergency #_____________
Email______________________________________
__________________________________________
(confirmation email will be sent)
I hereby grant permission for my child to attend the Hui O Momilani Basketball Clinic. I understand that as a condition of acceptance, the undersigned, on behalf of all parents and guardians an on behalf of the participant, hereby releases the Hui O Momilani Basketball Clinic, instructors or agents, from any and all liability for an injuries or illness incurred while attending the Hui O Momilani Bas-ketball Clinic. I hereby authorize the instructors to act for me according to his/her best judgment in any emergency requiring medical attention. The undersigned has no knowledge of any reason the applicant cannot participate in vigorous physical activity. I give consent to use my child’s image(s) on the internet, website, or any media publications.

T-Shirt Size (CIRCLE ONE)
YM YL AS AM AL AXL

Parent/Guardian (print):
__________________________________________
Parent/Guardian Signature:
__________________________________________

*** Please bring a basketball and water bottle