Elite Camp June 14, 2016
1800 COLLEGE AVENUE QUINCY, IL 62301-2699
QUINCY UNIVERSITY
MEN'S BASKETBALL
Quincy University 2016 Boys Basketball
Sponsored by
Elite Camp June 14, 2016
Nonprofit Org. U.S. Postage Paid Quincy, Illinois 62301 Permit No. 188
Elite High School Camp June 14, 2016 Grades: 9–12 Elite High School Camp is a one-day competitive practice camp. The camp’s focus is on advanced skills and is for players who are serious about improving their game and playing at the collegiate level. Campers will be put through competitive drills, game situations, and will work with the Quincy University coaching staff. The camp is limited to the first 50 enrollees. Lunch will be provided. Times: 1:00 pm – 5:00 pm Cost: $30 per person Check-in: 12:30 pm – 1:00 pm
REGISTRATION Camper Information
Camper Registration
Camper’s Name: ___________________________________ Address: _________________________________________ City: ____________________________________________ State: _____________________ Zip Code: ____________ Date of Birth: _________________Grade Entering: ________ School Attending: __________________________________ AAU Team________________________________________ Twitter____________________________________________
Please select the camps you plan to attend by selecting below:
Elite Camp—June 14 For more information call: 217-228-5432, ext. 3534 or 3514 Or e-mail: [email protected] Make all Checks Payable to: QU Boys Basketball Camps
Parent/Guardian: __________________________________ Cell Phone: (______) - ________________________________ Email: ___________________________________________ Age: ________ T-Shirt Size:
S
M
L
XL
XXL
Emergency Contact #_______________________________
Insurance Information I hereby give permission for my child to receive emergency treatment should it be deemed necessary, certify that my child is physically fit to participate in camp activities, and free from communicable disease. I also release the Quincy University Basketball Camp and Staff from all financial responsibility resulting from injury or illness. _________________________________________________ Parent Signature Date _________________________________________________ Insurance Policy # _________________________________________________ Insurance Company
Mail Registration to: Attn: Men’s Basketball Camps Quincy University 1800 College Avenue Quincy, IL 62301-2699
QUINCY UNIVERSITY
MEN'S BASKETBALL
Quincy University 2016 Boys Basketball
Sponsored by
Elite Camp June 14, 2016
Nonprofit Org. U.S. Postage Paid Quincy, Illinois 62301 Permit No. 188
Elite High School Camp June 14, 2016 Grades: 9–12 Elite High School Camp is a one-day competitive practice camp. The camp’s focus is on advanced skills and is for players who are serious about improving their game and playing at the collegiate level. Campers will be put through competitive drills, game situations, and will work with the Quincy University coaching staff. The camp is limited to the first 50 enrollees. Lunch will be provided. Times: 1:00 pm – 5:00 pm Cost: $30 per person Check-in: 12:30 pm – 1:00 pm
REGISTRATION Camper Information
Camper Registration
Camper’s Name: ___________________________________ Address: _________________________________________ City: ____________________________________________ State: _____________________ Zip Code: ____________ Date of Birth: _________________Grade Entering: ________ School Attending: __________________________________ AAU Team________________________________________ Twitter____________________________________________
Please select the camps you plan to attend by selecting below:
Elite Camp—June 14 For more information call: 217-228-5432, ext. 3534 or 3514 Or e-mail: [email protected] Make all Checks Payable to: QU Boys Basketball Camps
Parent/Guardian: __________________________________ Cell Phone: (______) - ________________________________ Email: ___________________________________________ Age: ________ T-Shirt Size:
S
M
L
XL
XXL
Emergency Contact #_______________________________
Insurance Information I hereby give permission for my child to receive emergency treatment should it be deemed necessary, certify that my child is physically fit to participate in camp activities, and free from communicable disease. I also release the Quincy University Basketball Camp and Staff from all financial responsibility resulting from injury or illness. _________________________________________________ Parent Signature Date _________________________________________________ Insurance Policy # _________________________________________________ Insurance Company
Mail Registration to: Attn: Men’s Basketball Camps Quincy University 1800 College Avenue Quincy, IL 62301-2699
