basketball skills camp
2017 CAMP APPLICATION Session 1: July 18–21
Session 2: July 24–27
Please Print
M Camper’s name
BASKETBALL SKILLS CAMP
F
Gender (circle one)
Email Address City
State
(
AT ELMHURST COLLEGE
Zip
)
Home phone Birth date
Age at time of camp:
T-shirt size (circle one) child YS* YM YL *quantity limited
adult S
M
L
XL
XXL
Choose your Day Camp Session: V Session 1: July 18–21* FEE: $215 V S ession 2: July 24–27* FEE: $215 V Both Sessions* FEE: $395 * Sessions run from 8:30 a.m.–12:30 p.m. VE xtended Lunch Option:
12:30 p.m.–2:00 p.m. Lunch and Activity provided (sandwich, chips, dessert, drink) FEE: $75 Return to: John Baines Elmhurst College 190 Prospect Avenue Elmhurst, IL 60126 Please make checks payable to: John Baines
• All sign-ups day of the camp are $250 • Sign-ups close to July 1 may have a delay for a t-shirt and basketball or may be refunded the cost of the t-shirt/basketball • Day of camp sign-ups are not guaranteed due to limitations
190 Prospect Avenue Elmhurst, IL 60126
CAMP INFORMATION
ELMHURST COLLEGE
How did you hear about the camp? Repeat Camper Newspaper Ad Friend School Flyer around town
BASKETBALL SKILLS CAMP
Twelve years in the national rankings!
Day Camp Session 1: July 18–21 Session 2: July 24 –27 8:30 a.m.–12:30 p.m. Skill development for all age groups
Boys and Girls Ages 4–14
CAMP DIRECTORS John Baines John Baines is directing his 14th Skills Camp over the past 17 years. He, along with former head coach Mark Scherer, created this camp in 2001. Baines began his collegiate coaching career at Elmhurst in 2000-01. In his first year with the Bluejays, he helped the squad to a school-best 22–5 record and its first College Conference of Illinois and Wisconsin Championship. In Baines’ tenure at Elmhurst the Bluejays compiled a 174–107 record (.626 winning percentage), recorded five conference runner-up finishes, qualified for the CCIW Tournament six times, won over 20 games in five seasons and advanced to the NCAA Tournament four times. Coach Baines has been coaching college basketball for over 17 years. Seth Evans Seth Evans is entering his first year as an assistant men’s basketball coach and head men’s golf coach at Elmhurst College. A former NCAA Division I and Division II player, Evans most recently served as a graduate assistant coach at the NCAA Division I level. Evans spent last season as a graduate assistant men’s basketball coach at the University of Toledo. Evans completed his collegiate career at Florida Southern College, earning first-team all-league honors from the Sunshine State Conference (SSC) during both his junior and senior seasons. Evans helped the Moccasins capture SSC Tournament titles in 2012 and 2013, earning Tournament MVP honors both years in the process. The team reached the NCAA Tournament during both of Evans’ years and captured a Regional Championship in 2013.
DAY CAMP INFORMATION
CONSENT FORM
j Session j Session
Must be filled out and returned for camp attendance
1: July 18–21 2: July 24–27
8:30 a.m.–12:30 p.m. Optional Extended Lunch 12:30–2:00 p.m.
Emily is working her 3rd Skills Camp over the past 4 years. Emily played college basketball at UNC-Charlotte and has her Master’s degree in Sport Management from Virginia Commonwealth University. Emily has coached at the collegiate level at VCU and Wagner University, as well as being a head girl’s high school coach at Gar Field High School in Woodbridge, VA. Emily is currently a physical education teacher for K-8 grades at Catalyst Maria Charter School in Chicago.
F
Gender (circle one)
Birth date
Specializing in girls and boys, ages 4–14 $215 Tuition—Limited Enrollment. Sign Up Early! • Separate Skill Development Groups • Professional Staff of Certified Teachers • Competition & Awards— Every Day • Free T-shirt & Basketball • Located at R.A. Faganel Hall (Elmhurst College)
In just two seasons at Florida Southern, Evans amassed over 1,000 points, averaging 18.2 points as a junior and 16.1 points as a senior. As a junior, Evans led the nation in three-pointers per game, averaging 3.5 per contest. Evans set a single-season Florida Southern record for three-pointers by knocking down 110 during his senior year. He also set the school’s career free throw percentage record by shooting 89.1 percent for his career. Emily Baines
M Player’s name
Questions? Call John Baines at (630) 617-3147 or email: john.baines@ elmhurst.edu
Guardian’s Name
Yes No Allergies/Asthmas (circle one)
If yes, please describe
In case of emergency: Father’s Name
(
)
Home phone
(
)
Cell phone
Mother’s Name
(
)
Home phone
(
)
Cell phone
I, the undersigned, hereby certify that I am the legal guardian of the player. I hereby give my permission for the staff of Elmhurst College Basketball, during the duration of the camp, to seek appropriate medical attention for the player, for medical attention to be given and for the player to receive medical attention in the event of accident, injury or illness. I will be responsible for any and all costs of medical attention and treatment and have medical insurance to cover these costs. I, the undersigned, for myself and as a guardian of above named player, understand that basketball is an active, physical sport, and that injuries can take place during play. I also understand that there will be a number of other players attending the camp, there will be a limited number of staff and that our child cannot receive individualized attention and supervision all of the time. I understand that, as with any sport, injuries can occur, and we hereby acknowledge that our child is physically fit and mentally capable of participating in camp activities. I, the undersigned for myself, my heirs, executors and administrators, waive, release and forever discharge Elmhurst College Basketball, Elmhurst College, and its staff, officers, agents, representatives, successors, and assign of and from all rights and claims for damages, injury or loss to person or property which may be sustained or occur during participation in camp activities or while at the camp, whether or not damages, injury or loss due to negligence.
Signature of Parent/Guardian:
Session 2: July 24–27
Please Print
M Camper’s name
BASKETBALL SKILLS CAMP
F
Gender (circle one)
Email Address City
State
(
AT ELMHURST COLLEGE
Zip
)
Home phone Birth date
Age at time of camp:
T-shirt size (circle one) child YS* YM YL *quantity limited
adult S
M
L
XL
XXL
Choose your Day Camp Session: V Session 1: July 18–21* FEE: $215 V S ession 2: July 24–27* FEE: $215 V Both Sessions* FEE: $395 * Sessions run from 8:30 a.m.–12:30 p.m. VE xtended Lunch Option:
12:30 p.m.–2:00 p.m. Lunch and Activity provided (sandwich, chips, dessert, drink) FEE: $75 Return to: John Baines Elmhurst College 190 Prospect Avenue Elmhurst, IL 60126 Please make checks payable to: John Baines
• All sign-ups day of the camp are $250 • Sign-ups close to July 1 may have a delay for a t-shirt and basketball or may be refunded the cost of the t-shirt/basketball • Day of camp sign-ups are not guaranteed due to limitations
190 Prospect Avenue Elmhurst, IL 60126
CAMP INFORMATION
ELMHURST COLLEGE
How did you hear about the camp? Repeat Camper Newspaper Ad Friend School Flyer around town
BASKETBALL SKILLS CAMP
Twelve years in the national rankings!
Day Camp Session 1: July 18–21 Session 2: July 24 –27 8:30 a.m.–12:30 p.m. Skill development for all age groups
Boys and Girls Ages 4–14
CAMP DIRECTORS John Baines John Baines is directing his 14th Skills Camp over the past 17 years. He, along with former head coach Mark Scherer, created this camp in 2001. Baines began his collegiate coaching career at Elmhurst in 2000-01. In his first year with the Bluejays, he helped the squad to a school-best 22–5 record and its first College Conference of Illinois and Wisconsin Championship. In Baines’ tenure at Elmhurst the Bluejays compiled a 174–107 record (.626 winning percentage), recorded five conference runner-up finishes, qualified for the CCIW Tournament six times, won over 20 games in five seasons and advanced to the NCAA Tournament four times. Coach Baines has been coaching college basketball for over 17 years. Seth Evans Seth Evans is entering his first year as an assistant men’s basketball coach and head men’s golf coach at Elmhurst College. A former NCAA Division I and Division II player, Evans most recently served as a graduate assistant coach at the NCAA Division I level. Evans spent last season as a graduate assistant men’s basketball coach at the University of Toledo. Evans completed his collegiate career at Florida Southern College, earning first-team all-league honors from the Sunshine State Conference (SSC) during both his junior and senior seasons. Evans helped the Moccasins capture SSC Tournament titles in 2012 and 2013, earning Tournament MVP honors both years in the process. The team reached the NCAA Tournament during both of Evans’ years and captured a Regional Championship in 2013.
DAY CAMP INFORMATION
CONSENT FORM
j Session j Session
Must be filled out and returned for camp attendance
1: July 18–21 2: July 24–27
8:30 a.m.–12:30 p.m. Optional Extended Lunch 12:30–2:00 p.m.
Emily is working her 3rd Skills Camp over the past 4 years. Emily played college basketball at UNC-Charlotte and has her Master’s degree in Sport Management from Virginia Commonwealth University. Emily has coached at the collegiate level at VCU and Wagner University, as well as being a head girl’s high school coach at Gar Field High School in Woodbridge, VA. Emily is currently a physical education teacher for K-8 grades at Catalyst Maria Charter School in Chicago.
F
Gender (circle one)
Birth date
Specializing in girls and boys, ages 4–14 $215 Tuition—Limited Enrollment. Sign Up Early! • Separate Skill Development Groups • Professional Staff of Certified Teachers • Competition & Awards— Every Day • Free T-shirt & Basketball • Located at R.A. Faganel Hall (Elmhurst College)
In just two seasons at Florida Southern, Evans amassed over 1,000 points, averaging 18.2 points as a junior and 16.1 points as a senior. As a junior, Evans led the nation in three-pointers per game, averaging 3.5 per contest. Evans set a single-season Florida Southern record for three-pointers by knocking down 110 during his senior year. He also set the school’s career free throw percentage record by shooting 89.1 percent for his career. Emily Baines
M Player’s name
Questions? Call John Baines at (630) 617-3147 or email: john.baines@ elmhurst.edu
Guardian’s Name
Yes No Allergies/Asthmas (circle one)
If yes, please describe
In case of emergency: Father’s Name
(
)
Home phone
(
)
Cell phone
Mother’s Name
(
)
Home phone
(
)
Cell phone
I, the undersigned, hereby certify that I am the legal guardian of the player. I hereby give my permission for the staff of Elmhurst College Basketball, during the duration of the camp, to seek appropriate medical attention for the player, for medical attention to be given and for the player to receive medical attention in the event of accident, injury or illness. I will be responsible for any and all costs of medical attention and treatment and have medical insurance to cover these costs. I, the undersigned, for myself and as a guardian of above named player, understand that basketball is an active, physical sport, and that injuries can take place during play. I also understand that there will be a number of other players attending the camp, there will be a limited number of staff and that our child cannot receive individualized attention and supervision all of the time. I understand that, as with any sport, injuries can occur, and we hereby acknowledge that our child is physically fit and mentally capable of participating in camp activities. I, the undersigned for myself, my heirs, executors and administrators, waive, release and forever discharge Elmhurst College Basketball, Elmhurst College, and its staff, officers, agents, representatives, successors, and assign of and from all rights and claims for damages, injury or loss to person or property which may be sustained or occur during participation in camp activities or while at the camp, whether or not damages, injury or loss due to negligence.
Signature of Parent/Guardian:
