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KNOX COLLEGE PRAIRIE FIRE BASKETBALL Facilities

You’ll practice and play in Memorial Gymnasium and T. Fleming Fieldhouse, both located on the Knox College Campus. These facilities provide four full basketball courts and 10 baskets.

Camp Dates

June 15–June 19, 2015 Camp Cost: $75.00

The program operates from 1:00 p.m.–3:00 p.m. daily

Instruction

Coach Walden and Coach Cline will be active as the instructor in each session, giving players hands on instruction. In addition, Knox men’s and women’s assistant coaches and players will be involved as instructors.

Focus

Please complete both sides of this form. Mail registration and payment of $75 per child to:

Knox College Attn: Emily Cline Campus Box K-226 2 East South Street Galesburg, IL 61401

The focus is on developing the offensive skills of the campers. Proper footwork, shooting technique, individual offensive moves and ballhandling will be stressed each session.

Checks should be made payable to “Knox College.”

Our Philosophy

Camp Participant

It is our goal to give all our players a positive basketball experience. We want the game to be fun by making each player better than they were before camp. Good sportsmanship, as well as good attitude, will be emphasized so that all our athletes will be better people as well. Basketball will be taught, coached and played on a competitive basis. Each player will play an equal share of time in each game, and be a part of teams formed to be as balanced as possible.

About Knox College

Knox College is a nationally ranked, private, residential liberal arts college in Galesburg, Illinois. More than 1,400 students come from 48 states and 51 countries, making Knox one of the most diverse liberal arts colleges in the nation. Knox offers 40 majors and 47 minors, 11 cooperative degree programs, and 31 off campus study opportunities in 18 different countries. For more information, visit www.knox.edu.

REGISTRATION FORM Name____________________________________

Address __________________________________ City, State, Zip _____________________________

E-mail ___________________________________ Cell phone ________________________________

Grade in school in fall 2015 __________________

School ___________________________________ Coach’s name _____________________________

Age of camper on June 1, 2015 _______________ T-Shirt Size:

Youth

❏ S ❏ M ❏ L ❏ XL Adult ❏ S ❏ M ❏ L ❏ XL ❏ XXL

I hereby authorize the staff of the Knox College Summer Basketball Camp staff to act for me according to their best judgment in any emergency requiring medical attention. I hereby waive and release Knox College and its personnel from any and all liability and will assume all cost for any injuries or illness incurred while at camp. I have no knowledge of any physical impairment that would be affected by the above player’s participation in the basketball camp, as outlined in the brochure.

_____________________________________________ Parent or Guardian Signature Date

Emergency Contact

Name____________________________________

Phone ___________________________________ Alternate phone ___________________________

Insurance carrier ___________________________

Policy/Group Number_______________________

Medication allergies ________________________

_________________________________________

Please list or attach any other pertinent medical information for your child

Directors

KEvIn wALdEn Kevin Walden was named the head men’s basketball coach in 2012. Walden most recently was the head men’s basketball coach for four seasons at Warren Wilson College in Asheville, North Carolina. Walden was a four-year varsity men’s basketball letter winner and a two-year starter at Knox where he earned his bachelor’s degree in 2001. He earned a master’s degree from St. Ambrose University in 2008. EmILy CLInE Emily Cline was named the head women’s basketball coach in 2008. Cline spent the 2007-2008 season as an assistant women’s basketball coach at Buena Vista University in Storm Lake, Iowa. She received her bachelor’s degree from Cornell College in 2001, where she was an all-conference basketball and softball player. Cline earned a master’s degree from Mercyhurst in 2004.

QUESTIONS?

Coach Kevin walden 309-341-7193 [email protected] Coach Emily Cline 309-341-7484 [email protected]

_________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________

DEPARTMENT OF ATHLETICS 2 East South Street, Box K-226 Galesburg, Illinois 61401

KNOX COLLEGE PRAIRIE FIRE BASKETBALL

Release of Liability and Consent for Treatment

Summer Basketball Camp JunE 15–19, 2015 1:00 pm – 3:00 pm Boys & Girls Camp Grades 3–12