DoBee Plaisance 2015 TEAM CAMP

Report 1 Downloads 34 Views
DoBee Plaisance 2015 TEAM CAMP When:

Monday, June 8th through Wednesday, June 10th

Where:

Nicholls State University -Stopher Gymnasium -Shaver Gymnasium

Price:

$400.00 per team – 3 Days (6 Games) $300.00 per team – 2 Days (4 Games) $150.00 per team – 1 Day (2 Games)

Housing:

Discounted Hotel Housing – Hampton Inn Thibodaux, LA *Contact Coach Kris Goff for more info

Officials:

(1) Certified LA High School Officials (1) Student official

Games Schedule:

Contact:

Monday, June 8th - 2 Games Tuesday, June 9th - 2 games Wednesday June 10th – 2 games

Coach Kris Goff at (225) 324-5863 or (985) 448-4758 Email: [email protected]

DoBee Plaisance

2015 TEAM CAMP REGISTRATION INFORMATION June 8 - June 10 DoBee Plaisance Basketball 2015 Team Camp

REGISTRATION INFORMATION Please complete the information below and fax it along with the team roster(s) as soon as possible. Fax to (985) 549-3603. Mail original registration form and roster(s) with your full payment of $400.00 by June 1, 2014 or make other arrangements with Coach Kris Goff. ***Make Checks payable to: Nicholls Women’s Basketball Foundation*** Mail To: Nicholls Women’s Basketball P.O. Box 2032 Thibodaux, LA 70310 Any questions contact:

(225) 324-5863 - Coach Kris Goff

APPLICATION Coach’s Name _____________________________________________________ Home Address _____________________________________________________ City, State, Zip _____________________________________________________ E-Mail Address _____________________________________________________ Cell Phone High School

_____________________________________________________ _____________________________________________________

School Address _____________________________________________________ City, State, Zip _____________________________________________________ School Phone School Fax Our team will:

_____________________________________________________ _____________________________________________________ ____ Commute or

_____ Stay Overnight (Check One)

______ Hotel – Hampton Inn (Thibodaux) *Discounted Rates $99.00 per night

DoBee Plaisance Basketball 2015 Team Camp Team Roster School Name: _______________________________________________________ Varsity or Junior Varsity: ______________________________ Head Coach: ________________________________________ Phone Number (H)______________________________________ (C)______________________________________ Fax Number (

)_________________________________

1.

_________________________________________________

2.

_________________________________________________

3.

_________________________________________________

4.

_________________________________________________

5.

_________________________________________________

6.

_________________________________________________

7.

_________________________________________________________

8.

_________________________________________________________

9.

_________________________________________________________

10.

________________________________________________________

• Camp Dates: Monday, June 8 through Wednesday June 10 • Please fill out a team roster for those attending the camp & return it along with your application and $400 Fee by June 1, 2015.

DoBee Plaisance Basketball 2015 Team Camp Coaches, Please make copies and have each player attending fill out all of the necessary information below & return it to us with your registration information and camp fee or on registration day. Athlete’s Name: _______________________________________________________ Parent’s Name (Policy Holder): ___________________________________________ Policy Holder’s Social Security Number: _____ - ____ - _______ Name & Address of Insurance Company: ______________________________ ___________________________________________________________ Phone Number of Insurance Company: (

) _________________________________

Employer: _____________________________________________________________ Employer’s Address: _____________________________________________________ Policy Number: ____________________ Group Number: _______________________ Any Other Identification: _________________________________________________

I hereby authorize the Directors of the Nicholls 2015 Basketball Team Camp to act for me according to their best judgement in any emergency requiring medical attention. I hereby waive & release the camp and Nicholls State University from any & all liability for any injuries or illnesses incurred while at camp. We have read the rules and regulations for the camp and both the camper & I agree to abide by them. If the camper should disregard the said rules, neither the camper nor parent nor guardian of the camper may hold the Basketball Camp or its staff responsible for resulting consequences. _____________________________ Parent or Guardian Signature

___________________ Date

Dear Coach, Basketball season has reached its completion and we now turn our attention to summer camps and recruiting. We are looking forward to hosting our Annual Nicholls State Basketball Team Camp from June 8th through June 10th. It is our goal to develop positive relationships within this area with the coaches, schools and community. We would like to invite you to spend a couple days on our campus, while participating in our team camp. We are excited about the outlook for not only these summer camps, but the future of our program as well. You play a big part in our success and we thank you for your assistance. Again, we would like to invite you to our team camp. Enclosed is the necessary information to enroll. Please return the Registration Information and Team Roster forms before June 1st along with your full $400.00 camp fee. We look forward to hearing from you. If you have any questions, feel free to contact Coach Kris Goff (225-324-5863) Best Wishes, Nicholls Coaching Staff