2015 Portland State Basketball Camp Individual Skills Basketball Camp
Camp Date/Time PSU Basketball Camp runs through Tuesday, June 23 – Friday, June 26 9:00am – 3:00pm Campers are responsible for bringing own lunch. A camp store will be available to buy PowerAde, snacks, and pizza. Campers will check in at the Peter W. Stott Center on the first day of camp from 8:00 AM to 9:00 AM Extended Supervision is available from 3pm – 5pm for an extra $25/week fee All campers will receive a Portland State Basketball Camp T-Shirt and Basketball
CAMP PURPOSE PSU Basketball Camp is designed for grade school kids from 2nd to 8th grade who want to learn individual and team skills of basketball in a positive environment. Activities include personal instructions by PSU coaches and players, along with opportunities for daily team play.
2015 Portland State Basketball Camp
Fundamentals taught: - Shooting - Ball Handling - Passing - Offensive Movement - Rebounding - Teamwork HOOP IT UP AT VIKING BASKETBALL CAMP
For more information contact: Adam Wardell- [email protected]
General Schedule
Peter W.Stott Center where the camp will be held
Tuesday – Friday 8:00 - 9:00 am Free Shoot/Registration 9:00 am Exercise and stretching 9:20 am Instructional stations 12:00 pm Lunch 1:00 pm Games 2:45 pm Closing remarks 3:00 pm Camp dismissed 3:00 - 5:00 pm Extended supervision*
Individual Skills Basketball Camp June 23-26
CAMP APPLICATION
Camp Application To register, fill out and return form for PSU Basketball Camp to following address Day Camp - $175 June 23-26, 9am-3pm Grades: 2-8 $25 off for each sibling registering $50 per day (Circle days attending) M T W
LIABILITY WAIVER
Liability Waiver Parent release and indemnity I hereby authorize my child’s participation in the PSU Private Basketball Camp. I know of no mental or physical problems that may safely participate in this camp. I realize the camp has the exclusive right to deny admission or to dismiss any participants from camp for just cause. I hereby authorize the staff of the Basketball Camp to act in my absence in the case of illness or injury involving my child’s participation in the release and hold harmless the Basketball Camp, Portland St. University and its employees, agents, and assigns from any and all liability that may arise out of
TH
Camper’s Name: ________________________ Parent/Guardian Name: __________________ Address: ____________________________ City: _________________ State: ___________ Zip: ____________ Home Phone: (_____)________ Alt Phone: (_____)____________ Email: ______________________ School: _____________________ Grade in School (Fall 2015): _______
my child’s participation in transportation to and from the camp. ____________________________________________
Parent/Guardian Signature: Date: Daytime Phone: Cell Phone:
Shirt Size (circle) YS
YM
YL S
M
L
XL
Payment: Check: Payable to: Geving Basketball MAIL: Portland State University Athletics Attn: Adam Wardell PO Box 751 Portland, OR 97207-0751
Checks or Cash Only (No Credit Cards)
All campers must provide the following health insurance information. Parent or Guardian Signature: ____________________ Name of Insurance Provider: _____________________ Policy #: _____________________
PSU Private Basketball Camp does not discriminate in any manner contrary to law or justice on the basis of race, color, gender, sexual orientation, age, religion, disability, veteran's status or national origin in its educational programs or activities.
VIKING BASKETBALL
PSU Viking
CAMP PURPOSE PSU Basketball Camp is designed for grade school kids from 2nd to 8th grade who want to learn individual and team skills of basketball in a positive environment. Activities include personal instructions by PSU coaches and players, along with opportunities for daily team play.
2015 Portland State Basketball Camp
Fundamentals taught: - Shooting - Ball Handling - Passing - Offensive Movement - Rebounding - Teamwork HOOP IT UP AT VIKING BASKETBALL CAMP
For more information contact: Adam Wardell- [email protected]
General Schedule
Peter W.Stott Center where the camp will be held
Tuesday – Friday 8:00 - 9:00 am Free Shoot/Registration 9:00 am Exercise and stretching 9:20 am Instructional stations 12:00 pm Lunch 1:00 pm Games 2:45 pm Closing remarks 3:00 pm Camp dismissed 3:00 - 5:00 pm Extended supervision*
Individual Skills Basketball Camp June 23-26
CAMP APPLICATION
Camp Application To register, fill out and return form for PSU Basketball Camp to following address Day Camp - $175 June 23-26, 9am-3pm Grades: 2-8 $25 off for each sibling registering $50 per day (Circle days attending) M T W
LIABILITY WAIVER
Liability Waiver Parent release and indemnity I hereby authorize my child’s participation in the PSU Private Basketball Camp. I know of no mental or physical problems that may safely participate in this camp. I realize the camp has the exclusive right to deny admission or to dismiss any participants from camp for just cause. I hereby authorize the staff of the Basketball Camp to act in my absence in the case of illness or injury involving my child’s participation in the release and hold harmless the Basketball Camp, Portland St. University and its employees, agents, and assigns from any and all liability that may arise out of
TH
Camper’s Name: ________________________ Parent/Guardian Name: __________________ Address: ____________________________ City: _________________ State: ___________ Zip: ____________ Home Phone: (_____)________ Alt Phone: (_____)____________ Email: ______________________ School: _____________________ Grade in School (Fall 2015): _______
my child’s participation in transportation to and from the camp. ____________________________________________
Parent/Guardian Signature: Date: Daytime Phone: Cell Phone:
Shirt Size (circle) YS
YM
YL S
M
L
XL
Payment: Check: Payable to: Geving Basketball MAIL: Portland State University Athletics Attn: Adam Wardell PO Box 751 Portland, OR 97207-0751
Checks or Cash Only (No Credit Cards)
All campers must provide the following health insurance information. Parent or Guardian Signature: ____________________ Name of Insurance Provider: _____________________ Policy #: _____________________
PSU Private Basketball Camp does not discriminate in any manner contrary to law or justice on the basis of race, color, gender, sexual orientation, age, religion, disability, veteran's status or national origin in its educational programs or activities.
VIKING BASKETBALL
PSU Viking
