Mark Your Calendars!
NAME:________________________________________________________ ADDRESS: ___________________________________________________ CITY: STATE : ZIP: __________________________________________
HOME PHONE: ______________________________________________ PARENT/GUARDIAN: ______________________________________ EMERGENCY CONTACT: ___________________________________ EMAIL: _______________________________________________________ SCHOOL: _____________________________________________________ GRADE: ______________________________________________________ Session: I or II: ________________
* Please make all checks/money orders payable to : Doug Robertson Women’s Basketball Camp
Doug Robertson just completed his eighth season as the head coach of the SC State University women’s basketball team. Robertson, a Baltimore, Maryland native, came to Orangeburg and SC State after three seasons as head coach at Bowie State (also Lady Bulldogs), where he compiled a 53-33 record. He had his most productive campaign during the 2007-2008 season when he guided his team to a 22-5 record and the Eastern Division Championship of the Central Intercollegiate Athletic Association (CIAA), garnering Coach-of-the-Year Honors. Robertson earlier served as an assistant at Bowie State (1994-1999), helping the University to a 126-19 mark, three straight CIAA titles and four trips to the NCAA Division II tournament. Following his first tenure at Bowie State, he spent five seasons as an assistant at Delaware State during a stretch when the Lady Hornets reached the MEAC tournament final three times and captured the regular-season title once(2004). Robertson also served as an assistant at St. John’s (1999-2000).
Mark Your Calendars! August 4, 2017 Join Coach Doug Robertson and his staff for Basketball camp this SUMMER!!!
2
Liability Waiver & Medical Release
August 4, 2017 Facilities The camp will be held in the Smith-HammondMiddleton Arena & Dukes Gymnasium on the campus of South Carolina State University. Campers will need to bring the following items:
Bath Towels Water Bottle Small Backpack
Athletic Training Our camp sports medicine staff provides routine first aid for participants. An athletic trainer will be present on site. The athletic training room is located in the Gymnasium. Staff trainers refer medical emergencies and illnesses to the Regional Medical Center. Camp Highlights
Camp Competitions Coach’s Chalk Talk Individual Instruction 5 on 5 Games Film Sessions
*Mail Registration and make Payment to: Douglas Robertson’s Women’s Basketball Camp Attn: Coach Woods 300 College Street, NE P.O. Box 7308 Orangeburg, SC 29117
Camp Cost Cost: $60.00 per player. (Includes Lunch)
Our camp is geared for high school teams learning to become motivated basketball players. This camp will take place from 9am to 6pm on Friday . The camp offers an excellent opportunity for high school students to improve individually in preparation for the high school season. This camp is open to any and all entrants (limited only by age, grade level and/or gender).
*Please go to SC State Athletics website at scsuathletics.com, or for details call: Rodd Woods at 803-533-3921 or 859-625-4338 or Alexis Pace at 803-536-8293 *Please return liability waiver and application & Camp payment.
The undersigned, being a parent or legal guardian of the child requesting camp admittance, does hereby affirm that the applicant is physically able to perform activities conducted at the SC State Girls Basketball Camp and I hereby authorize any medical evaluation or treatment which may be advised or recommended by qualified medical personnel of my child while at the SC State Girls Basketball Camp. In consideration of my application being accepted, intending to be legally bound, do hereby for myself, my heirs, executors and administrators waive and release and forever discharge any and all claims for damages, which may have or may hereafter occur to me against SC State University, the Women’s Basketball program or their respective officers, agents, representatives, successors and/or assigns for any or all damages which may be sustained or suffered in connection with my association with, or participation in, the SC State Girls Basketball Camps on the campus of SC State University. I, the parent or guardian, do here by agree to the above waiver and release. List any allergies: __________________________________________________________ List any medical conditions: ____________________________________ ________________ Signature of Parent/Guardian Date Medical Insurance Information: Insurance Company: __________________________________________________________ Policy Number: __________________________________________________________ Policy Holder:__________________________________________
HOME PHONE: ______________________________________________ PARENT/GUARDIAN: ______________________________________ EMERGENCY CONTACT: ___________________________________ EMAIL: _______________________________________________________ SCHOOL: _____________________________________________________ GRADE: ______________________________________________________ Session: I or II: ________________
* Please make all checks/money orders payable to : Doug Robertson Women’s Basketball Camp
Doug Robertson just completed his eighth season as the head coach of the SC State University women’s basketball team. Robertson, a Baltimore, Maryland native, came to Orangeburg and SC State after three seasons as head coach at Bowie State (also Lady Bulldogs), where he compiled a 53-33 record. He had his most productive campaign during the 2007-2008 season when he guided his team to a 22-5 record and the Eastern Division Championship of the Central Intercollegiate Athletic Association (CIAA), garnering Coach-of-the-Year Honors. Robertson earlier served as an assistant at Bowie State (1994-1999), helping the University to a 126-19 mark, three straight CIAA titles and four trips to the NCAA Division II tournament. Following his first tenure at Bowie State, he spent five seasons as an assistant at Delaware State during a stretch when the Lady Hornets reached the MEAC tournament final three times and captured the regular-season title once(2004). Robertson also served as an assistant at St. John’s (1999-2000).
Mark Your Calendars! August 4, 2017 Join Coach Doug Robertson and his staff for Basketball camp this SUMMER!!!
2
Liability Waiver & Medical Release
August 4, 2017 Facilities The camp will be held in the Smith-HammondMiddleton Arena & Dukes Gymnasium on the campus of South Carolina State University. Campers will need to bring the following items:
Bath Towels Water Bottle Small Backpack
Athletic Training Our camp sports medicine staff provides routine first aid for participants. An athletic trainer will be present on site. The athletic training room is located in the Gymnasium. Staff trainers refer medical emergencies and illnesses to the Regional Medical Center. Camp Highlights
Camp Competitions Coach’s Chalk Talk Individual Instruction 5 on 5 Games Film Sessions
*Mail Registration and make Payment to: Douglas Robertson’s Women’s Basketball Camp Attn: Coach Woods 300 College Street, NE P.O. Box 7308 Orangeburg, SC 29117
Camp Cost Cost: $60.00 per player. (Includes Lunch)
Our camp is geared for high school teams learning to become motivated basketball players. This camp will take place from 9am to 6pm on Friday . The camp offers an excellent opportunity for high school students to improve individually in preparation for the high school season. This camp is open to any and all entrants (limited only by age, grade level and/or gender).
*Please go to SC State Athletics website at scsuathletics.com, or for details call: Rodd Woods at 803-533-3921 or 859-625-4338 or Alexis Pace at 803-536-8293 *Please return liability waiver and application & Camp payment.
The undersigned, being a parent or legal guardian of the child requesting camp admittance, does hereby affirm that the applicant is physically able to perform activities conducted at the SC State Girls Basketball Camp and I hereby authorize any medical evaluation or treatment which may be advised or recommended by qualified medical personnel of my child while at the SC State Girls Basketball Camp. In consideration of my application being accepted, intending to be legally bound, do hereby for myself, my heirs, executors and administrators waive and release and forever discharge any and all claims for damages, which may have or may hereafter occur to me against SC State University, the Women’s Basketball program or their respective officers, agents, representatives, successors and/or assigns for any or all damages which may be sustained or suffered in connection with my association with, or participation in, the SC State Girls Basketball Camps on the campus of SC State University. I, the parent or guardian, do here by agree to the above waiver and release. List any allergies: __________________________________________________________ List any medical conditions: ____________________________________ ________________ Signature of Parent/Guardian Date Medical Insurance Information: Insurance Company: __________________________________________________________ Policy Number: __________________________________________________________ Policy Holder:__________________________________________
