Basketball Camp LITTLE ROCK BASKETBALL CAMP
June 13-16 MINI June 27-30 MINI
July 11-14 REGULAR
July 11-14 MINI
FATHER’S NAME ___________________________ MOTHER’S NAME _____________________________
June 27-30 REGULAR
CAMPER’S NAME ____________________________________________________________________
PARENTS’ ADDRESS _____________________________________________________________________
PHONE-HOME _______________________ OFFICE _______________________ CELL __________________________ OTHER _______________________________ SCHOOL ___________________________________________________________________________________ GRADE IN FALL 2016 ________________________ DATE OF BIRTH ___________________________________ AGE AS OF JUNE 2016 ________________ HEIGHT ________________ WEIGHT ____________________
DEPOSIT _____________________ FULL FEE _____________________ LETTER _____________________
Online Registration: LRTrojans.com
June 13-16 MINI
DATE
June 27-30 REGULAR
June 27-30 MINI
July 11-14 REGULAR
July 11-14 MINI
FATHER’S NAME ___________________________ MOTHER’S NAME _____________________________
June 13-16 REGULAR
CAMPER’S NAME ____________________________________________________________________
PARENTS’ ADDRESS _____________________________________________________________________
CHECK ONE
CAMPER’S ADDRESS _________________________________________________________________
CITY __________________________________________ STATE _____________ ZIP________________
FOR OFFICE USE ONLY DEPOSIT _____________________ FULL FEE _____________________ LETTER _____________________
DATE SEND THIS APPLICATION AND A NON-REFUNDABLE $50 (MINI) or $100 (REGULAR) DEPOSIT TO: LITTLE ROCK BASKETBALL CAMP • 2801 S. UNIVERSITY AVE. • LITTLE ROCK, AR 72204
PARENT OR GUARDIAN SIGNATURE
I/We, the undersigned, for ourselves, our heirs, executors and administration waive, release and forever discharge the University of Arkansas at Little Rock and the camp, and its staff, officers, agents, employees, representatives, successors and assign of and from all rights and claims for damages, injury or loss to person or property which may be sustained during participation in camp activities or while at camp, whether or not damages, injury or loss is due to negligence. It shall be understood that participating campers are contracting with the employee and not the University of Arkansas at Little Rock, and that the University and the State of Arkansas do not assume any contractual obligations for the conduct of the employee’s activity.
EMAIL ADDRESS ________________________________________________________________________________________________________________________
DATE OF BIRTH ___________________________________ AGE AS OF JUNE 2016 ________________ HEIGHT ________________ WEIGHT ____________________
SCHOOL ___________________________________________________________________________________ GRADE IN FALL 2016 ________________________
PHONE-HOME _______________________ OFFICE _______________________ CELL __________________________ OTHER _______________________________
CITY __________________________________________ STATE _____________ ZIP_____________
APPLICATION
SEND THIS APPLICATION AND A NON-REFUNDABLE $50 (MINI) or $100 (REGULAR) DEPOSIT TO: LITTLE ROCK BASKETBALL CAMP • 2801 S. UNIVERSITY AVE. • LITTLE ROCK, AR 72204
PARENT OR GUARDIAN SIGNATURE
I/We, the undersigned, for ourselves, our heirs, executors and administration waive, release and forever discharge the University of Arkansas at Little Rock and the camp, and its staff, officers, agents, employees, representatives, successors and assign of and from all rights and claims for damages, injury or loss to person or property which may be sustained during participation in camp activities or while at camp, whether or not damages, injury or loss is due to negligence. It shall be understood that participating campers are contracting with the employee and not the University of Arkansas at Little Rock, and that the University and the State of Arkansas do not assume any contractual obligations for the conduct of the employee’s activity.
EMAIL ADDRESS ________________________________________________________________________________________________________________________
FOR OFFICE USE ONLY
CAMPER’S ADDRESS _________________________________________________________________
June 13-16 REGULAR
Session I: June 13-16 Session II: June 27-30 Session III: July 11-14
CITY __________________________________________ STATE _____________ ZIP________________
CHECK ONE
Head Coach Wes Flanigan
CITY __________________________________________ STATE _____________ ZIP_____________
APPLICATION
University of Arkansas at Little Rock 2801 S. University Ave. Little Rock, AR 72204
Little Rock
MEDICAL EXAM FORM Each camper must have a Physician’s Statement before attending camp Please attach to application or bring to registration the first day of camp
Physician’s Statement: I hereby certify that on _______/_______/_______ I examined ____________________________________________ and found him/her physically fit to attend
and participate in the Little Rock Basketball Camp. Please note any specific medical problems (ex. asthma, diabetes, etc.) _______________________________________________
PHYSICIAN’S NAME (PLEASE PRINT) _ _______________________________________________________________________________________________________________
OFFICE ADDRESS ______________________________________________________________ CITY ________________________________ STATE _______ ZIP _________
PHYSICIAN’S SIGNATURE
Each camper must have a Physician’s Statement before attending camp Please attach to application or bring to registration the first day of camp
OFFICE PHONE (________)_________-_____________ EMERGENCY (________)_________-_____________ __________________________________________________
MEDICAL EXAM FORM
Physician’s Statement: I hereby certify that on _______/_______/_______ I examined ____________________________________________ and found him/her physically fit to attend
and participate in the Little Rock Basketball Camp. Please note any specific medical problems (ex. asthma, diabetes, etc.) _______________________________________________
PHYSICIAN’S NAME (PLEASE PRINT) _ _______________________________________________________________________________________________________________
OFFICE ADDRESS ______________________________________________________________ CITY ________________________________ STATE _______ ZIP _________
PHYSICIAN’S SIGNATURE
OFFICE PHONE (________)_________-_____________ EMERGENCY (________)_________-_____________ __________________________________________________
COST
FACILITIES & PARKING
The cost of Little Rock Basketball Camp is $110 per camper for the mini-camp and $200 for the regular camp.
Little Rock Basketball Camp will be held at the Jack Stephens Center, located on the north side of the University of Arkansas at Little Rock campus at the corner of University Avenue and 28th Street in Little Rock.
This includes all instruction, camp basketball, insurance and a T-shirt. A $50 (mini) or $100 (regular) non-refundable deposit must accompany each application. The remaining balance of the full camp price is due upon arrival at camp. A $15 discount will be available to camp participants who register before June 1. After completion of one week’s session, campers will receive a $25 discount on any additional sessions.
JACK STEPHENS CENTER
ELIGIBILITY AND PHILOSOPHY Children entering kindergarten up to their senior year of high school can learn fundamentals at Little Rock Basketball Camp. The camp is open to any and all entrants limited only by number, age and/or grade level. All campers will be grouped according to their age and ability, and will receive individual instruction throughout the week. Each day of camp will include lectures and demonstrations on shooting, ball-handling skills, individual offense and defense as well as team offense and defense. By exposing campers to professional instruction, sound fundamentals and keen competition, we feel that each camper will strive to become the best basketball player possible, while participating within the framework of good sportsmanship.
REGISTRATION & SCHEDULE Registration will be held the first day of camp at 8:30 a.m. for those attending the Mini Camp (Grades K-3) and at 11:30 a.m. for those attending the Regular Camp (Grades 4-12), in the main lobby of the Jack Stephens Center for all sessions. The camp staff will be available at those times to visit with the parents and campers to answer any questions. The first session will begin immediately after registration is concluded. The Mini Camp will go from 9 a.m. to 11:30 a.m., and the Regular Camp will go from 12:30 p.m. to 5:30 p.m., Monday through Thursday. Parents, family and friends are welcome to attend any and all sessions. MINI CAMP 8:30 am........................... Gym Opens 9:00 am.........................Camp Begins 11:30 am...............Camp Dismissed
REGULAR CAMP 11:30 am........................ Gym Opens 12:30 pm......................Camp Begins 5:30 pm.................Camp Dismissed
Faculty and staff at the University of Arkansas at Little Rock will receive a 50 percent discount. Mail Application to: Little Rock Basketball Camp 2801 S. University Avenue, Little Rock, AR 72204 Make Checks Payable to: Little Rock Basketball Camp Online Registration: LRTrojans.com
CAMP STAFF Along with Coach Wes Flanigan, the camp staff, Trojan players and coaches are an enthusiastic and knowledgeable group from all levels of basketball experience that will work with the campers each day. These coaches come from all over the country and are well respected in each of their states.
CANCELLATIONS In the event you must cancel your enrollment in the Little Rock Basketball Camp, the $50 (Mini) or $100 (Regular) deposit will not be refunded. Also, those campers who leave camp voluntarily during the week will not be refunded the remaining portion of the camp fee. Refunds, less the $50 or $100 deposit, will be given only for medical reasons when accompanied by a letter from a physician. The refund for this reason will be prorated.
Questions? Contact: Jon Trilli (316.712.9928 /
[email protected]) OR Tangie Jones (501.569.3304) /
[email protected])
All three sessions will be held at the Jack Stephens Center, home of the Trojans, where campers will participate on the main arena floor and Derek Fisher Court. Parking is free at the Jack Stephens Center in Lot 13 East, located on the east side of the Jack Stephens Center (off 28th Street).
CAMP EQUIPMENT NEEDED Each camper is responsible for their own basketball equipment. Gym shoes, T-shirts, shorts, socks, etc., will all be needed. Basketballs are provided by the camp. In case of inclement weather, campers should have an extra pair of shoes to wear in from outside, so as not to track mud, rocks, etc., onto the playing surfaces. Campers should not bring any valuables with them to the daily sessions, as the camp staff is not responsible for each camper’s belongings.
AWARDS & CEREMONIES Camp certificates will be given to each camper upon completion of all the requirements of the camp. Awards for contest winners, slam dunk, league tournament champions and campers who exemplify specific basketball qualities will be presented on the arena floor of the Jack Stephens Center. Parents, family and friends are encouraged to attend the award presentation. An autograph session will follow the award presentation.