INSURANCE
Campers must have their own health insurance. The parent(s)/ guardian(s) signature below releases Edgewood College and the staff from accident and injury liability, as well as providing consent for needed medical treatment.
EDGEWOOD COLLEGE
________________________ ________________________ Insurance Company Insurance Policy Number
BASKETBALL CAMPS
GIRLS
________________________ ________________________ Contact Number Emergency Daytime Number ________________________ ________________________ Parent/Guardian Signature Date
AUTHORIZATION TO USE LIKENESS IN ADVERTISING
I give permission to Edgewood College and the Eagle Women’s Basketball Program to use my daughter’s likeness in any promotions or advertisements (print or electronic), provided the advertising is produced by or with the direct supervision of Edgewood College and/or the Eagle Women’s Basketball Program. __________________________________________________ Name (Please print) ________________________ ________________________ Signature of Parent/Guardian Date
Mini Eagles Camp » June 20 - 23 Day Camp » June 20 - 23
QUESTIONS & CONTACT INFORMATION
Casey Thousand, Head Coach (608) 663-8352 »
[email protected] Guard Camp » June 27 Shooting Camp » June 28 Post Camp » June 29
PAYMENT
Please make checks payable to: Edgewood College Women’s Basketball Please mail this form and payment to: Casey Thousand - Women’s Basketball Summer Camps Edgewood College 1000 Edgewood College Drive » Madison, WI 53711
www.EdgewoodCollegeEagles.com
www.EdgewoodCollegeEagles.com
2 0 1 6 E A G L E C A M P I N F O R M AT I O N
R E G I S T R AT I O N F O R M CAMPER
Summer is just around the corner which means another exciting year to participate in the Edgewood College Women’s Basketball Camps. We have multiple camps for all ages. If you have attended our camps, we thank you and invite you to join us again. If you are a first time camper you will have a whole lot of fun while learning the game of basketball. This is a great opportunity for my staff and players to share our passion of basketball with the youth around the Madison area. Campers will learn the fundamentals of basketball and hear stories about experiences from current players of the Edgewood College Women’s Basketball team.
Name:_____________________________________________
Thank you for supporting Edgewood College Women’s Basketball!
T-shirt size (specify youth or adult):______________________
Join our camp and elevate your game! GO EAGLES!
School:_____________________________________________
- Head Coach Casey Thousand
Age: __________
Birthdate:__________________________
Address:____________________________________________ City: _________________ State: _______ Zip:___________ Grade (Fall ’16):______________________________________
PARENT OR GUARDIAN Name:_____________________________________________ Home Phone:________________________________________
MINI-EAGLE CAMP:
POSITION CAMPS:
Work Phone:________________________________________
Students entering grades 1 – 4 June 20 – 23 » Cost: $75 (price does not include lunch) 2:30pm – 4:30pm Check-in: June 20 at 2:00pm • Fundamental instruction • Games and contests • Station Work • Camp is limited to 60 campers
• Learn position specific skills and concepts • Emphasis on drill work, station work, and fundamentals • Camp is limited to 30 campers
Cell Phone: _________________________________________
GUARD Students entering grades 8 – 11 June 27 » Cost: $50 (price does not include lunch) 9:00am – 2:00pm Check-in: June 27 at 8:30am
CAMPS:
DAY CAMP: Students entering grades 5 – 7 June 20 – 23 » Cost: $160 (price does not include lunch) 8:30am – 2:30pm Check-in: June 20 at 8:00am • Learn offensive and defensive terminology • Emphasis on fundamental skills • Instruction through station work, team practice, competitive games, and contests. • Camp is limited to 60 campers
SHOOTING Students entering grades 8 – 11 June 28 » Cost: $50 (price does not include lunch) 9:00am – 2:00pm Check-in: June 28 at 8:30am POST Students entering grades 8 – 11 June 29 » Cost: $50 (price does not include lunch) 9:00am – 2:00pm Check-in: June 29 at 8:30am
All camps are held in the Edgewood College Edgedome: 1000 Edgewood College Dr., Madison, WI 53711
Email: _____________________________________________
____ MINI-EAGLE » June 20 – 23 Students entering grades 1 – 4 » Cost: $75 ____ DAY CAMP » June 20 – 23 Students entering grades 5 – 7 » Cost: $160
POSITION CAMPS: ____ GUARD » June 27 Students entering grades 8 – 11 » Cost: $50 ____ SHOOTING » June 28 Students entering grades 8 – 11 » Cost: $50 ____ POST » June 29 Students entering grades 8 – 11 » Cost: $50 *$10 discount/individual if a camper enrolls in multiple camps Continued on back »