July 17-20 Grades 9th-12th Feather River College Gymnasium

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Participation Consent Form Required I, the undersigned*, hereby release discharge, indemnify, hold harmless and defend Feather River Community College District (District), its officers, employees and servants from all liability claims, demands, losses, causes of action, suits, judgments of any kind that I or any representative on behalf of my family may have against District due to death, personal injury or illness, loss or damage to property, or future causes that occur during the 2016 Elite Camp. In the event of any medical emergency, I authorize and consent for District to act on my behalf for medical care deemed necessary for the participant. ________________________ Medical Insurance Company ________________________ Policy Number ____________ ___________ Family Doctor Phone Number ________________________ *Parent Signature Date _________________ Contact Phone Number

The Feather River College Women’s Basketball Clinic will be directed by Head Coach Brent Stephens. In his first year at the helm of the program, Stephens has created a competitive program which is one of the top scoring teams in the state. He led the FRC basketball team to their highest finish in recent memory. Coach Stephens implements a fun style of organized chaos that has historically produced high scoring, exciting basketball teams.

Assisting Coach Stephens will be Katie Gannon. Coach Gannon comes to Feather River College after graduating from New Mexico Highlands University where she lettered in basketball for the Cowgirls for four years. Before she attended NMHU, Gannon played prepped at Glendora High School where she played against Stephens’ Chino HS squad. Coach Stephens also recruited Coach Gannon out of HS. Joining them will be current FRC basketball players.

July 17-20 Grades 9th-12th

Feather River College Gymnasium 570 Golden Eagle Ave Quincy, CA 95971

Contact Information: Brent Stephens 530-283-0202 x320 [email protected]

Camp Schedule

8:30-9:30 ……Breakfast 9:30-12:00…Warm-Up/Individual work 12:00-1:00…Lunch 1:00-5:00……Games 5:00-6:00….Dinner 6:00-8:00…..Group Activities 8:00-9:00….R&R Time 9:00-Report to rooms

Athletes will check-in July 17th from 4:005:00pm

What To Bring



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Comfortable athletic attire Appropriate court shoes Water bottle Snacks Bedding, pillow, etc. Good Attitude =)

Insurance Each camper must provide their own insurance. Parents or guardians will be responsible for any medical expenses.

Check In Check in on the 1st day of camp will take place from 8:45 am-9:00 am at the Feather River College Gym.

Camp Cost: $200:Overnight camper w/all food included $150:Local camper w/food included $100:Local camper w/o food included

**Please leave all valuable items (i.e. jewelry, electronics, etc.) at home!!**

________________________ Name ________________________ Address ______________ ___ _____ City State Zip (___)__________ ________ Home Telephone Age/Grade ________________________ School Circle One: T-Shirt Size: S M L XL Medical Concerns: Yes No If Yes, please explain:_________ ________________________ ________________________ ________________________

**Please make checks payable to FRC Women’s Basketball**

Media Release: Yes No FRC and its representatives have my permission to use photos of my daughter for future promotional use.