Boys individual basketball camp
INDIVIDUAL CAMP REGISTRATION Boys Entering K-10th Grade (Must Completed by parent or guardian) Camper Name______________________________ Address ___________________________________ State _____ Zip Code________________________
Mccook community College
Grade Level (2017-2018) ______ Age ____
Home Phone_______________________________
Boys individual basketball camp
Daytime Phone ____________________________
2017
Parent Name ______________________________
E-Mail Address_____________________________ Amount Enclosed___________________________ ($50.00 per camper) Make Checks Payable to : MCC Boosters Inc. Return this portion to the following address: McCook Community College Attn: Brandon Lenhart/Men’s Basketball 1205 East Third St McCook, NE 69001 T-Shirt Size: (Please Indicate Youth or Adult) S _______ L _______ M ______ XL _______ All Players will receive an Individual Camp T-Shirt, and High Level Instruction! Please Register Prior to May 26th to ensure you a spot in this years camp, Walk-ins Welcome! COME JOIN THE FUN!!!!
For More Information Contact: Head Coach Brandon Lenhart 1205 East Third St McCook, NE 69001 Phone: 308-345-8128 Cell: 641-660-9492 E-mail: [email protected]
Presented by: The Men’s Basketball Coaching Staff & Players
MAY 31- - JUNE 2 BOYS
(ENTERING K–10TH GRADE)
9 AM—12 PM (K-5TH GRADE) 1 PM—4 PM (6TH-10TH GRADE) Peter & Delores Graff Center McCook Community College Campus 1205 E. 3rd St, McCook Ne
Medical Information Accident & Medical Insurance Company: Policy #: _______________________________________ Policy Owner: ___________________________________
Location
Daily Schedule, I Contests, I Awards:
The MCC Boys individual basketball camp will be held on the campus of McCook Community College, within the brand new $10 million MCC Peter & Dolores Graff Event Center.
Each day the campers will be given instruction in the fundamentals of the game. Special emphasis is placed on passing, shooting, defense, rebounding, ball handling, and footwork. Also campers will compete for awards on a day to day basis, playing numerous games. The morning session will begin at 9 a.m. and last until 12:00 p.m. The afternoon session will begin at 1:00 p.m. and last until 4:00 p.m. Wednesday-Friday.
Who Can Attend? Boys entering grades K– 10th grade. he campers are grouped according to age and grade for competition and instruction.
Camp Purpose: The McCook Community College Men’s Basketball Coaching Staff is committed to providing each camper with quality one-on-one instruction. We will teach fundamental skills related to basketball, education, and life. We will provide top notch instruction in an effort to help each camper develop as a student, player, and person.
Camp Staff: The McCook Community college coaching staff and players will provide quality instruction and supervision of all campers.
Camp Necessities: Each camper must provide their own: Gym shorts, T-shirt, gym shoes, towel, and water bottle.
Arrival & Departure:
Check in Time: Morning Session 8:30 a.m. on Wednesday, May 31 at the MCC Event Center. The opening camp meeting will begin at approximately 9:10 a.m. Afternoon Session 12:30 p.m. on Wednesday, May 31. The opening camp meeting will begin approximately 1:10 p.m. Check out Time: The camp will begin each day at 9:00 a.m. and 1:00 p.m., starting on Wednesday, May 31 and concluding on Friday, June 2. The camp will conclude each day at 12:00 p.m. and 4:00 p.m.
Prices for Camp: ($50.00 per camper) Each Camper will receive: • 1 Individual Camp T-shirt • Camp Certificate • Quality Individual Instruction MPCC adheres to all federal and state civil rights laws banning discrimination in public institutions of higher education. MPCC will not discriminate against any employee, applicant for employment, student or applicant for admission on the basis of race, religion, hearing status, personal appearance, color, sex, pregnancy, political affiliation, source of income, place of business, residence, creed, ethnicity, national origin (including ancestry), citizenship status, physical or mental disability, age, marital status, family responsibilities, sexual orientation, gender, gender identity or expression, veteran or military status (including special disabled veteran, Vietnam-era veteran, or recently separated veteran), predisposing genetic characteristic information and testing, domestic violence victim status, Family Medical Leave or any other protected category under applicable local, state or federal law, including protections for those opposing discrimination or participating in any grievance process on campus or within the Equal Employment Opportunity Commission or other human rights agencies. The following person has been designated to handle inquiries regarding the non-discrimination policies: Area Director of Human Resources, Mid-Plains Community College-North Campus, 1101 Halligan Dr., North Platte, NE 69101, 308 535-3679 or toll free 800 658-4308, Ext. 3679. Inquiries involving McCook Campus students should be directed to the Area Dean of Student Life in McCook at 1205 East Third Street, McCook, NE 69001, 308 345-8108, or toll free 800 658-4348, Ext. 8108; or, for North Platte Campus inquiries, the Associate Dean of Student Life in North Platte, 1101 Halligan Drive, North Platte, NE 69101, 308 535- 3622 or toll-free 800 658-4308, Ext. 3622. If you have a disability and require an accommodation while attending Mid-Plains Community College, please contact: Robin Rankin, North Campus, 308 535-3637 or 800 658-4308, Ext. 3637, [email protected]; Chris Turner, South Campus, 308 535-3715 or 800 658-4308, Ext. 3715, [email protected]; or Brandon Lenhart, McCook Community College, 308 345-8128 or 800 658-4348, Ext. 8128, [email protected], or [email protected]. For the latest version of this statement, visit www.mpcc.edu/non-discrimination-policy. REV 07-2014
I certify that the individual named on this form is in good physical condition and is capable in taking part in all camp activities. I understand and accept that the risk of injury is possible while playing or practicing basketball. If medical attention is required, I understand that every possible attempt will be made to contact me at the phone numbers provided. If contact is not permissible, I hereby give my consent to such medical treatment as deemed necessary by a licensed physician. In addition, I understand and assume all risks resulting in the participation in the McCook Community College Camps, and hereby release the McCook Community College Men’s Basketball Coaching Staff and employees from claims on account of any injuries, which may be sustained by my son/daughter attending the camp. This camp admits all qualified applicants without regard to disability, race, color, religion, national or ethnic origin, or sexual orientation. I hereby certify that I have read fully and understand this authorization: ____________________________________________ Parent/Guardian Signature: Date Signed:_________________________________ Campers Allergic Reactions: ___________________ ____________________________________________ Medications currently taking:___________________ ____________________________________________ Please list any past illness or other important information useful in the event medical treatment is necessary:__________________________________ ____________________________________________
PLEASE COMPLETE BOTH SIDES OF THE APPLICATION
Mccook community College
Grade Level (2017-2018) ______ Age ____
Home Phone_______________________________
Boys individual basketball camp
Daytime Phone ____________________________
2017
Parent Name ______________________________
E-Mail Address_____________________________ Amount Enclosed___________________________ ($50.00 per camper) Make Checks Payable to : MCC Boosters Inc. Return this portion to the following address: McCook Community College Attn: Brandon Lenhart/Men’s Basketball 1205 East Third St McCook, NE 69001 T-Shirt Size: (Please Indicate Youth or Adult) S _______ L _______ M ______ XL _______ All Players will receive an Individual Camp T-Shirt, and High Level Instruction! Please Register Prior to May 26th to ensure you a spot in this years camp, Walk-ins Welcome! COME JOIN THE FUN!!!!
For More Information Contact: Head Coach Brandon Lenhart 1205 East Third St McCook, NE 69001 Phone: 308-345-8128 Cell: 641-660-9492 E-mail: [email protected]
Presented by: The Men’s Basketball Coaching Staff & Players
MAY 31- - JUNE 2 BOYS
(ENTERING K–10TH GRADE)
9 AM—12 PM (K-5TH GRADE) 1 PM—4 PM (6TH-10TH GRADE) Peter & Delores Graff Center McCook Community College Campus 1205 E. 3rd St, McCook Ne
Medical Information Accident & Medical Insurance Company: Policy #: _______________________________________ Policy Owner: ___________________________________
Location
Daily Schedule, I Contests, I Awards:
The MCC Boys individual basketball camp will be held on the campus of McCook Community College, within the brand new $10 million MCC Peter & Dolores Graff Event Center.
Each day the campers will be given instruction in the fundamentals of the game. Special emphasis is placed on passing, shooting, defense, rebounding, ball handling, and footwork. Also campers will compete for awards on a day to day basis, playing numerous games. The morning session will begin at 9 a.m. and last until 12:00 p.m. The afternoon session will begin at 1:00 p.m. and last until 4:00 p.m. Wednesday-Friday.
Who Can Attend? Boys entering grades K– 10th grade. he campers are grouped according to age and grade for competition and instruction.
Camp Purpose: The McCook Community College Men’s Basketball Coaching Staff is committed to providing each camper with quality one-on-one instruction. We will teach fundamental skills related to basketball, education, and life. We will provide top notch instruction in an effort to help each camper develop as a student, player, and person.
Camp Staff: The McCook Community college coaching staff and players will provide quality instruction and supervision of all campers.
Camp Necessities: Each camper must provide their own: Gym shorts, T-shirt, gym shoes, towel, and water bottle.
Arrival & Departure:
Check in Time: Morning Session 8:30 a.m. on Wednesday, May 31 at the MCC Event Center. The opening camp meeting will begin at approximately 9:10 a.m. Afternoon Session 12:30 p.m. on Wednesday, May 31. The opening camp meeting will begin approximately 1:10 p.m. Check out Time: The camp will begin each day at 9:00 a.m. and 1:00 p.m., starting on Wednesday, May 31 and concluding on Friday, June 2. The camp will conclude each day at 12:00 p.m. and 4:00 p.m.
Prices for Camp: ($50.00 per camper) Each Camper will receive: • 1 Individual Camp T-shirt • Camp Certificate • Quality Individual Instruction MPCC adheres to all federal and state civil rights laws banning discrimination in public institutions of higher education. MPCC will not discriminate against any employee, applicant for employment, student or applicant for admission on the basis of race, religion, hearing status, personal appearance, color, sex, pregnancy, political affiliation, source of income, place of business, residence, creed, ethnicity, national origin (including ancestry), citizenship status, physical or mental disability, age, marital status, family responsibilities, sexual orientation, gender, gender identity or expression, veteran or military status (including special disabled veteran, Vietnam-era veteran, or recently separated veteran), predisposing genetic characteristic information and testing, domestic violence victim status, Family Medical Leave or any other protected category under applicable local, state or federal law, including protections for those opposing discrimination or participating in any grievance process on campus or within the Equal Employment Opportunity Commission or other human rights agencies. The following person has been designated to handle inquiries regarding the non-discrimination policies: Area Director of Human Resources, Mid-Plains Community College-North Campus, 1101 Halligan Dr., North Platte, NE 69101, 308 535-3679 or toll free 800 658-4308, Ext. 3679. Inquiries involving McCook Campus students should be directed to the Area Dean of Student Life in McCook at 1205 East Third Street, McCook, NE 69001, 308 345-8108, or toll free 800 658-4348, Ext. 8108; or, for North Platte Campus inquiries, the Associate Dean of Student Life in North Platte, 1101 Halligan Drive, North Platte, NE 69101, 308 535- 3622 or toll-free 800 658-4308, Ext. 3622. If you have a disability and require an accommodation while attending Mid-Plains Community College, please contact: Robin Rankin, North Campus, 308 535-3637 or 800 658-4308, Ext. 3637, [email protected]; Chris Turner, South Campus, 308 535-3715 or 800 658-4308, Ext. 3715, [email protected]; or Brandon Lenhart, McCook Community College, 308 345-8128 or 800 658-4348, Ext. 8128, [email protected], or [email protected]. For the latest version of this statement, visit www.mpcc.edu/non-discrimination-policy. REV 07-2014
I certify that the individual named on this form is in good physical condition and is capable in taking part in all camp activities. I understand and accept that the risk of injury is possible while playing or practicing basketball. If medical attention is required, I understand that every possible attempt will be made to contact me at the phone numbers provided. If contact is not permissible, I hereby give my consent to such medical treatment as deemed necessary by a licensed physician. In addition, I understand and assume all risks resulting in the participation in the McCook Community College Camps, and hereby release the McCook Community College Men’s Basketball Coaching Staff and employees from claims on account of any injuries, which may be sustained by my son/daughter attending the camp. This camp admits all qualified applicants without regard to disability, race, color, religion, national or ethnic origin, or sexual orientation. I hereby certify that I have read fully and understand this authorization: ____________________________________________ Parent/Guardian Signature: Date Signed:_________________________________ Campers Allergic Reactions: ___________________ ____________________________________________ Medications currently taking:___________________ ____________________________________________ Please list any past illness or other important information useful in the event medical treatment is necessary:__________________________________ ____________________________________________
PLEASE COMPLETE BOTH SIDES OF THE APPLICATION
