P L AY B A L L & SUPPORT AWA R E N E S S
FREE EVENT
This FREE prevention outreach event is focused primarily on bringing the community together to bring awareness
FORM DROP-OFF L O C AT I O N S : Priest River Locations Priest River Ace Hardware
and education to the epidemic of
Priest River Lamanna Highschool
violence, and drug/alcohol abuse within
Columbia Bank in Priest River, ID
the Pend Oreille County Region. We want to encourage the entire community to attend as a participant, spectator, supporter, or volunteer! Please come show your support, you don’t want to miss out on this opportunity!
E V E N T D E TA I L S June 8 at the Camas Center for Community Wellness parking lot, Team check-in at 8am, event starts at 9am.
Newport Locations Owen’s Grocery Union Street Perk Cusick Locations Kalispel Tribe Victim Assistance Services
3 - O N - 3 BASK E T BA L L T OURN A M E N T S AT, J U N E 8 AT C A M A S C E N T E R
Camas Center Cusick Highschool Selkirk Locations Selkirk School District Mountain West Bank in Ione, WA
GUEST SPEAKER Craig Ehlo, retired player of the Seattle Supersonics, will be in attendance to talk about his story and his involvement with
For more information, please contact
prevention and
Riley Holsinger at Kalispel Tribe Victim
building a healthy community. T O VO LU N T E E R C A L L
5 0 9.4 47.715 5
Assistance Services: Main: (509) 447-7155 Direct: (509) 447-7188 Fax: (509) 447-7455 Email:
[email protected]
ENTRY FORM D E A D L I N E M AY 3 0
P L AY E R 2
P L AY E R 4
the deadline, May 30. See back of Entry Form
FIRST NAME:
FIRST NAME:
for drop-off locations. Entry Forms turned in
L A ST NAME:
L A ST NAME:
DIRECTIONS: Please fill out and turn in Entry Form before
after the deadline will not be accepted.
MALE
GENDER:
No exceptions. In addition to the Entry Form, each player will need a Waiver Form filled out and signed by a parent or guardian to participate in this event. Waiver Forms can be downloaded online at kalispeltribe.com/summerslam
FEMALE
MALE
GENDER:
AG E ( D O B) :
A G E ( D O B) :
PHONE:
PHONE:
T- S H I R T S I Z E :
T- S H I R T S I Z E :
YO U T H : S
A D U LT: M
L
XL
YO U T H :
S
M
XL
X XL
L
S
FEMALE
A D U LT: M
XL
L
S
M
XL
X XL
C A P TA I N S I G N AT U R E :
S I G N AT U R E :
P L AY E R 3
TEAM
FIRST NAME:
TEAM NAME:
FIRST NAME: L A ST NAME: MALE
GENDER:
FEMALE
A G E ( D O B) :
L A ST NAME:
PHONE:
YO U T H : S
A D U LT: M
XL
MALE
GENDER:
T- S H I R T S I Z E :
L
S
M
XL
X XL
L
AGE: 10 -12
MALE
AG E ( D O B) :
13 -15
FEMALE
PHONE:
16 -18
CO - E D
T- S H I R T S I Z E :
18 -2 4
YO U T H : S I G N AT U R E :
FEMALE
DIVISION:
S
A D U LT: M
XL
S I G N AT U R E :
L
S
M
XL
X XL
L
L
