Attn: Bethann Burke Goldey-Beacom College Athletics 4701 Limestone Road Wilmington, DE 19808
GENERAL RELEASE
Joseph West Jones College Center Goldey-Beacom College Campus
Please return to: Bethann Burke, Goldey-Beacom College Athletics, 4701 Limestone Road, Wilmington, DE 19808
Emergency Phone Number: __________________________ Relationship: ___________________
Parent/Guardian Signature: ________________________________________ Date: ____________________
As a parent/guardian of the registered child, I certify that he/she is in excellent physical health and capable of participation in strenuous activity. I hearby give my approval for his/her participation in the Goldey-Beacom College Basketball Camp. In case of injury to my child, I agree to waive all claims resulting from or in connection with the activities in which my child is a participant. I hereby release, absolve, and hold harmless the GoldeyBeacom College Basketball Camp, coaches, directors and administrators.
2014 LIGHTNING GIRLS’ BASKETBALL SUMMER CAMPS
Experience the fun and excitement of Goldey-Beacom College basketball. We offer two great weeks of camp that are sure to make each camper’s experience memorable. DAY CAMP: MONDAY TO THURSDAY TIME: 9 A.M. TO 3 P.M. Fee: $110 • Ages: 7-15 Goldey-Beacom College Girls’ Basketball camp is geared towards teaching fundamental skills while promoting an atmosphere of fun and competitive basketball under the supervision of College coaches and players. They will participate in drills, 5-on-5 games, competitions and daily demonstrations. There will be a break in the middle of the day for lunch. All campers will receive a camp T-shirt, camp basketball and a camp certificate. Space is limited.
EXTENDED CARE TIME: 3 P.M. TO 5 P.M. Fee: $60 for week This program is available for all weeks of camp and is available to assist families on a more convenient pick-up time.
CAMP DIRECTOR
2014 CAMP APPLICATION
Bethann Burke Goldey-Beacom Head Coach
Day Camp Tuition: $110.00 • Meal Plan: $32.00 (per week) Extended Care: $60.00 (per week)
• Completed first season at GBC in 2013-14 • Led Lightning to berth in CACC Tournament (5th straight year) • Spent four years as an assistant coach at Holy Family, leading them to four NCAA Tournaments.
Team and group requests must be submitted in written form. We will attempt to honor all requests. Make checks payable to Goldey-Beacom College, 4701 Limestone Road, Wilmington, DE 19808.
As one of the premier NCAA Division II basketball programs in the Northeast region, Goldey-Beacom College offers affordable and enjoyable basketball camps that provide young players with the fundamentals needed to be successful at every level. With campers ranging from inexperienced to advanced, come learn from some of the best teachers in the area.
CAMP HIGHLIGHTS
• Individual Skill Improvement Shooting | Footwork | Ball Handling • Experienced, Enthusiastic Camp Staff Staff includes current college players along with high school and college coaches with previous camp experience. • Game competitions Campers are broken down by grade and skill level before being placed on teams in leagues. Team coaches stress team play as well as offensive and defensive concepts in 5-on-5 games. Screening, cutting and passing are the key teaching concepts stressted in 3-on-3 games. League play concludes with playoffs and camp championships. • Lectures from Coach Burke Live demonstrations with campers and current Goldey-Beacom College basketball players are included. The lectures include extensive teaching from boxing out to shooting along with individual drills and more. • Awards, Prizes and More Best Offensive Player | Best Defensive Player | Miss Hustle | Most Improved | Best All-Around • Camp Favorite “Hot Shot” and “Crazy Dribble” games
Check all of the sessions you wish to attend:
Camp Extended Care Meal Plan
Total
Day Camp: June 23-26 _____ _____ _____ _____ Day Camp: July 7-10 _____ _____ _____ _____ Total _____ Camper’s Name: _________________________________________ Address: _______________________________________________ City: ______________________ State: _______ Zip: _____________ Home Phone: ____________________ Age: _____ DOB: ___________ Grade (Fall 2014): __________ School: __________________________ E-Mail Address: ___________________________________________ T-Shirt Size: ________________
Camper’s Health Record Emergency Information Mother’s Name: ______________________ Phone: ________________ Father’s Name: ______________________ Phone: ________________ Emergency Contact: _____________________ Phone: ______________ Insurance Company: ________________________________________ Policy #: _______________________________________________ Policyholder’s Name: _______________________________________ Primary Care Physician: ______________________________________ Phone: ______________________________________________ Please list any current medications, allergies, surgeries, physical restrictions or chronic/recurring illnesses.
BASKETBALL CAMP LUNCH PLAN OPTION ($32.00 per week) • Each lunch will include: selected entree, individual snack bag, a healthy side and beverage. • The Lunch plan is available for the full week only. • Meal order forms are located in the camp section of our website (www.gbcathletics.com) and should be submitted with your registration and payment. Payment must be made in advance. Refunds will not be given after 9 a.m. on the first day of camp. Please contact Mark Berry at 302-225-6245 for more information.
Please sign the release on the back page.