June 6, 7, 8
For More Information Please contact: Coach Lori Crisman [email protected] 217-228-5432 ext. 3536
Quincy University 2014 Women’s Basketball Team Camp Waiver of Liability
WOMEN’S BASKETBALL
Date
Quincy University
Coach’s Signature
1800 COLLEGE AVENUE • QUINCY, IL 62301-2699
By signing below, the high school coach understands the waiver of liability and insurance policy for the 2014 Quincy University Team Camp. This information has been relayed to the appropriate authorities and guardians of the campers and waives Quincy University, administration and staff, the staff at the 2014 Quincy University Team Camp, and officials of any financial responsibilities that should occur due to injury during the time of the event.
Open to High School Girl’s Teams of Any Level
June 6, 7, 8 All games played at
Registration Information
Team Camp ➤ All games played at air-conditioned Quincy University in the Health & Fitness Center and Pepsi Arena.
Please circle the number of games that you would like to play for each team entered.
➤ No driving around and splitting up teams. You’ll be able to watch and coach both JV and Varsity teams since everything will be at Quincy University. ➤ All certified officials.
➤ Open to high school teams of any level (Varsity, JV, Freshman)
Rules
➤ We will try to schedule games versus opponents you do not play in your regular season.
➤ Each game will consist of two 20-minute running clock halves.
Days
Friday Saturday Sunday
Date
June 6 June 7 June 8
Team
Friday Saturday Sunday
(Varsity, JV, etc.)
______________ 1, 2 or 3 1, 2 or 3 1, 2 or 3 ______________ 1, 2 or 3 1, 2 or 3 1, 2 or 3
➤ The clock will stop in the last 2 minutes of the game provided it is within 15 points.
Coach:__________________________________________
Time
5 pm - 10 pm 8 am - 5 pm 11 am - 5 pm
➤ Players will shoot free throws on all shooting fouls but will only shoot on common fouls in the last two minutes.
Team:___________________________________________
Cost: $50 per game
Registration Please send the attached Registration Information Form along with a $100 non-refundable deposit. Please register before May 29. We will email the schedule out by June 3. The schedule will be sent out via email so please be sure you provide an accurate email address.
Address:_________________________________________
➤ There is no double bonus.
Training Staff We will have a trainer on site in case of injuries. Trainers will also be available to tape athletes, but the athletes must provide their own tape.
Insurance/Liability Quincy University, administration and staff, the staff of the Quincy University Team Camp, and officials will not be held liable or be financially responsible for any personal injury that occurs during the camp. The camper and/or guardian is financially responsible for any injuries incurred at the Quincy University Team Camp. The coach will sign a release form to show that he/she understands the waiver of liability and that this information has been forwarded to the legal guardian of each camper. The insurance of Quincy University or any party mentioned above will NOT cover any injury that occurs on campus during the time of the team camp.
City:____________________________________________ State:__________________ Zip:____________________ Coach’s Home #:__________________________________ Coach’s Cell #:____________________________________ Coach’s Email:____________________________________
Return application and $100 non-refundable deposit to:
Quincy University Women’s Basketball 1800 College Ave. Quincy, IL 62301
Make check payable to: Quincy University Women’s Basketball
Quincy University 2014 Women’s Basketball Team Camp Waiver of Liability
WOMEN’S BASKETBALL
Date
Quincy University
Coach’s Signature
1800 COLLEGE AVENUE • QUINCY, IL 62301-2699
By signing below, the high school coach understands the waiver of liability and insurance policy for the 2014 Quincy University Team Camp. This information has been relayed to the appropriate authorities and guardians of the campers and waives Quincy University, administration and staff, the staff at the 2014 Quincy University Team Camp, and officials of any financial responsibilities that should occur due to injury during the time of the event.
Open to High School Girl’s Teams of Any Level
June 6, 7, 8 All games played at
Registration Information
Team Camp ➤ All games played at air-conditioned Quincy University in the Health & Fitness Center and Pepsi Arena.
Please circle the number of games that you would like to play for each team entered.
➤ No driving around and splitting up teams. You’ll be able to watch and coach both JV and Varsity teams since everything will be at Quincy University. ➤ All certified officials.
➤ Open to high school teams of any level (Varsity, JV, Freshman)
Rules
➤ We will try to schedule games versus opponents you do not play in your regular season.
➤ Each game will consist of two 20-minute running clock halves.
Days
Friday Saturday Sunday
Date
June 6 June 7 June 8
Team
Friday Saturday Sunday
(Varsity, JV, etc.)
______________ 1, 2 or 3 1, 2 or 3 1, 2 or 3 ______________ 1, 2 or 3 1, 2 or 3 1, 2 or 3
➤ The clock will stop in the last 2 minutes of the game provided it is within 15 points.
Coach:__________________________________________
Time
5 pm - 10 pm 8 am - 5 pm 11 am - 5 pm
➤ Players will shoot free throws on all shooting fouls but will only shoot on common fouls in the last two minutes.
Team:___________________________________________
Cost: $50 per game
Registration Please send the attached Registration Information Form along with a $100 non-refundable deposit. Please register before May 29. We will email the schedule out by June 3. The schedule will be sent out via email so please be sure you provide an accurate email address.
Address:_________________________________________
➤ There is no double bonus.
Training Staff We will have a trainer on site in case of injuries. Trainers will also be available to tape athletes, but the athletes must provide their own tape.
Insurance/Liability Quincy University, administration and staff, the staff of the Quincy University Team Camp, and officials will not be held liable or be financially responsible for any personal injury that occurs during the camp. The camper and/or guardian is financially responsible for any injuries incurred at the Quincy University Team Camp. The coach will sign a release form to show that he/she understands the waiver of liability and that this information has been forwarded to the legal guardian of each camper. The insurance of Quincy University or any party mentioned above will NOT cover any injury that occurs on campus during the time of the team camp.
City:____________________________________________ State:__________________ Zip:____________________ Coach’s Home #:__________________________________ Coach’s Cell #:____________________________________ Coach’s Email:____________________________________
Return application and $100 non-refundable deposit to:
Quincy University Women’s Basketball 1800 College Ave. Quincy, IL 62301
Make check payable to: Quincy University Women’s Basketball
