Boys Camp
Registration Form Name ___________________________________ Address _________________________________ City ______________________ State _________ Home Phone ________________________ School ______________________________ Shirt Size ___________________________ Grade next year ______________________ Age _____
Height ______ Weight _______
Tuition is $80 per camper and includes camp T-shirt, certificate of participation, UPIKE camp basketball, great instruction and many awards and giveaways. A $40 non-refundable deposit must accompany your application. The remaining balance is due at registration. Discounts for groups and multifamily members!
Kelly Wells - Head Coach SEND BROCHURES TO: UPIKE Basketball Camps c/o KELLY WELLS 147 Sycamore Street Pikeville, KY 41501 Make checks payable to: UPIKE Basketball Camps Phone: 606.218.5352 / 606.454.4542 / 606.471.8560 Email: [email protected] [email protected] [email protected]
**$75 for early bird registration discount**
www.upike.edu
Camp Purpose
Daily Program
The purpose of our camp is to expose campers to the essential skills necessary for their development as player and ways to improve those skills. Our camp will be demanding; we try to combine hard work and learning with a lot of fun. Through stations, half court games, lectures, competitions and more, we think you will find our camp the best for development.
Each day camp will begin with a group meeting and an organized warm-up period. There will be individual and small group instruction, daily lectures by staff, station instruction, individual contests, 3-on-3 development, plus team play.
Registration You will arrive on the morning of camp and report for registration from 8-9 a.m. You will need the balance of your camp fee at this time and registration will take place in the lobby of the UPIKE Gym. Campers should be dressed and ready to workout with tennis shoes, shorts, T-shirt and socks. Leave all valuables at home. The camp is NOT responsible for lost items.
#Gobears
Come Camp with the Champs!
The undersigned participating student and his or her parents by signing below hereby releases, waives, discharges, and covenants not to sue, UPIKE, its facility, administration, employees, coaches and instructors (the “released parties”) from and against, any and all loss(es), cost(s), and damage(s) of whatsoever kind or nature and all claims, demands, actions and causes of action therefore on account of injury to the participating student or resulting in the death of the student, whether caused by or arising out of the NEGLIGENCE (including ordinary, strict or gross negligence) of the “released parties” or otherwise. And, the participating student and/or his or her parent signing below do hereby agree to indemnify and hold harmless the “released parties” from all such risks of bodily injury, death and all other damages due to the negligence (including ordinary, strict or gross negligence) of the “released parties.” THE UNDERSIGNED HAS READ THIS RELEASE, AND UNDERSTANDS AND AND AGREES IT IS A RELEASE OF ALL CLAIMS, AND HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISKS OF ANY AND ALL SUCH BODILY INJURY, DEATH OR OTHER POTENTIAL DAMAGES WHICH MAY RESULT FROM PARTICIPATING IN THE BASKETBALL CAMP. THIS IS A RELEASE AND WAIVER READ CAREFULLY! Student’s Name: _____________________________________________ Student’s Insurance Policy Name: _____________________________________________ Policy #: _____________________________________ Parent Name: _________________________________ Parent Signature: _______________________________ Date: _________________________________________
Height ______ Weight _______
Tuition is $80 per camper and includes camp T-shirt, certificate of participation, UPIKE camp basketball, great instruction and many awards and giveaways. A $40 non-refundable deposit must accompany your application. The remaining balance is due at registration. Discounts for groups and multifamily members!
Kelly Wells - Head Coach SEND BROCHURES TO: UPIKE Basketball Camps c/o KELLY WELLS 147 Sycamore Street Pikeville, KY 41501 Make checks payable to: UPIKE Basketball Camps Phone: 606.218.5352 / 606.454.4542 / 606.471.8560 Email: [email protected] [email protected] [email protected]
**$75 for early bird registration discount**
www.upike.edu
Camp Purpose
Daily Program
The purpose of our camp is to expose campers to the essential skills necessary for their development as player and ways to improve those skills. Our camp will be demanding; we try to combine hard work and learning with a lot of fun. Through stations, half court games, lectures, competitions and more, we think you will find our camp the best for development.
Each day camp will begin with a group meeting and an organized warm-up period. There will be individual and small group instruction, daily lectures by staff, station instruction, individual contests, 3-on-3 development, plus team play.
Registration You will arrive on the morning of camp and report for registration from 8-9 a.m. You will need the balance of your camp fee at this time and registration will take place in the lobby of the UPIKE Gym. Campers should be dressed and ready to workout with tennis shoes, shorts, T-shirt and socks. Leave all valuables at home. The camp is NOT responsible for lost items.
#Gobears
Come Camp with the Champs!
The undersigned participating student and his or her parents by signing below hereby releases, waives, discharges, and covenants not to sue, UPIKE, its facility, administration, employees, coaches and instructors (the “released parties”) from and against, any and all loss(es), cost(s), and damage(s) of whatsoever kind or nature and all claims, demands, actions and causes of action therefore on account of injury to the participating student or resulting in the death of the student, whether caused by or arising out of the NEGLIGENCE (including ordinary, strict or gross negligence) of the “released parties” or otherwise. And, the participating student and/or his or her parent signing below do hereby agree to indemnify and hold harmless the “released parties” from all such risks of bodily injury, death and all other damages due to the negligence (including ordinary, strict or gross negligence) of the “released parties.” THE UNDERSIGNED HAS READ THIS RELEASE, AND UNDERSTANDS AND AND AGREES IT IS A RELEASE OF ALL CLAIMS, AND HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISKS OF ANY AND ALL SUCH BODILY INJURY, DEATH OR OTHER POTENTIAL DAMAGES WHICH MAY RESULT FROM PARTICIPATING IN THE BASKETBALL CAMP. THIS IS A RELEASE AND WAIVER READ CAREFULLY! Student’s Name: _____________________________________________ Student’s Insurance Policy Name: _____________________________________________ Policy #: _____________________________________ Parent Name: _________________________________ Parent Signature: _______________________________ Date: _________________________________________
