Mountain Lion Boy's Basketball Instructional Camp Mountain ...
Mountain Lion Basketball Camp Enrollment form & Medical Treatment Release Name______________________________________________________________ last ____________________________________________________________________ first middle Address___________________________________________________________ City__________________ State__________________Zip___________________
Email______________________________________________________________ Age__________________ Grade Fall 2014____________________________
School_____________________________________________________________ Resident Camper
Commuter
Mountain Lion Boy’s Basketball Instructional Camp
Roommate Preference___________________________________________ Parent/Guardian Name__________________________________________
Home Phone _____________________________________________________
Ages 8 - 18
Work Phone______________________________________________________ Emergency Phone Number:
• Day ___________________________________________________________
Camp Director: Kent McBride, Head Coach
• Night_________________________________________________________
Date of last tetanus immunization:
____________________________________________________________________ day/month/year
Concord University
____________________________________________________________________
Office Phone: 1-304-384-5330
List of any conditions the camp directors should know about: ____________________________________________________________________ ____________________________________________________________________
I hereby certify that my son/ward is physically fit to participate in all camp activities. I will not hold authorities responsible in case of accident or illness. I give permission for my son/ward to be treated by the camp athletic trainer or licensed physicians. I authorize any medical treatment that might be advised by physicians available to camp, while my son/daughter is present at camp:
Campus Box 77 PO Box 1000 Athens, WV 24712-1000
____________________________________________________________________
CONCORD UNIVERSITY Men’s Basketball
List of any allergies to medication:
Parent/Guardian Signature
____________________________________________________________________ Insurance Co. ______________________________ Policy# _____________
Name on Policy___________________________________________________
July 27- 30
General Information Campers will not be allowed to leave campus without PERMISSION or SUPERVISION by a staff member. All swimming will be supervised with certified lifeguards on duty.
Coaches and counselors will stay with residential campers at night in the Concord University Dorms.
Location
The camp is held on the campus of Concord University in Athens, West Virginia, 6 miles north of Princeton, just off Rt. 20 and 15 miles from I-77 and Rt. 460.
Necessities for Week of July 27- 30 RESIDENT CAMPERS
• $225.00
(includes room and meals)
A camper planning to stay overnight should bring casual summer clothes, swim wear, complete practice outfits, socks, tennis shoes, towels, toiletries, pillow, linens for a twin bed, a blanket, and spending money.
COMMUTING CAMPERS (all meals except breakfast) • $185.00
Price includes meal ticket for lunch and dinner
Commuters will register on same day same time as residential campers Commuter Campers will be expected to report to their assigned gym at:
Morning Session • 9:00 am Afternoon Session • 1:00 pm Evening Session • 6:00 pm
ALL Campers will have the opportunity to swim until 9:30 pm. Evening sessions will be over between 8:30 and 9:30 p.m. Parents are always welcome.
Food & Lodging The campers will be in a dormitory with 2 persons per room. Preference for roommates may be indicated at registration.
The campers will be served meals in the dining room of CU’s Student Center.
Camp Facilities
The basketball camp will be held in the CU Carter Center. Two gymnasiums are located on the main level, as well as a swimming pool.
Arrival/Departure Campers should plan to arrive on the first day of camp at noon. Registration will take place in the lobby of the Carter Center between 12:00 pm and 1:00 pm. The first session will begin at 2:00 pm.
Camp Objectives • Instruction and team play will be according to age and experience of the individual. • Players will be thoroughly instructed in the fundamentals of basketball. • Team competition: a team will consist of up to 8 players • We will expect good sportsmanship at all times. • We think the game of basketball is fun and plan to play it that way.
Awards
Trophies are awarded in each group: Free Throw, Hot Shot, Knockout, League Champions, Heart & Hustle, Most Improved, Sportsmanship, Best Rebounder, Outstanding Camper, and MVP.
To Enroll
Tear off, fill out, and mail in the form on the reverse side, along with a $50.00 nonrefundable deposit to:
Kent McBride Head Men’s Basketball Coach Concord University Athens West Virginia 24712
Make all Checks out to : Concord University Foundation, Inc. Memo: Men’s Basketball
Email______________________________________________________________ Age__________________ Grade Fall 2014____________________________
School_____________________________________________________________ Resident Camper
Commuter
Mountain Lion Boy’s Basketball Instructional Camp
Roommate Preference___________________________________________ Parent/Guardian Name__________________________________________
Home Phone _____________________________________________________
Ages 8 - 18
Work Phone______________________________________________________ Emergency Phone Number:
• Day ___________________________________________________________
Camp Director: Kent McBride, Head Coach
• Night_________________________________________________________
Date of last tetanus immunization:
____________________________________________________________________ day/month/year
Concord University
____________________________________________________________________
Office Phone: 1-304-384-5330
List of any conditions the camp directors should know about: ____________________________________________________________________ ____________________________________________________________________
I hereby certify that my son/ward is physically fit to participate in all camp activities. I will not hold authorities responsible in case of accident or illness. I give permission for my son/ward to be treated by the camp athletic trainer or licensed physicians. I authorize any medical treatment that might be advised by physicians available to camp, while my son/daughter is present at camp:
Campus Box 77 PO Box 1000 Athens, WV 24712-1000
____________________________________________________________________
CONCORD UNIVERSITY Men’s Basketball
List of any allergies to medication:
Parent/Guardian Signature
____________________________________________________________________ Insurance Co. ______________________________ Policy# _____________
Name on Policy___________________________________________________
July 27- 30
General Information Campers will not be allowed to leave campus without PERMISSION or SUPERVISION by a staff member. All swimming will be supervised with certified lifeguards on duty.
Coaches and counselors will stay with residential campers at night in the Concord University Dorms.
Location
The camp is held on the campus of Concord University in Athens, West Virginia, 6 miles north of Princeton, just off Rt. 20 and 15 miles from I-77 and Rt. 460.
Necessities for Week of July 27- 30 RESIDENT CAMPERS
• $225.00
(includes room and meals)
A camper planning to stay overnight should bring casual summer clothes, swim wear, complete practice outfits, socks, tennis shoes, towels, toiletries, pillow, linens for a twin bed, a blanket, and spending money.
COMMUTING CAMPERS (all meals except breakfast) • $185.00
Price includes meal ticket for lunch and dinner
Commuters will register on same day same time as residential campers Commuter Campers will be expected to report to their assigned gym at:
Morning Session • 9:00 am Afternoon Session • 1:00 pm Evening Session • 6:00 pm
ALL Campers will have the opportunity to swim until 9:30 pm. Evening sessions will be over between 8:30 and 9:30 p.m. Parents are always welcome.
Food & Lodging The campers will be in a dormitory with 2 persons per room. Preference for roommates may be indicated at registration.
The campers will be served meals in the dining room of CU’s Student Center.
Camp Facilities
The basketball camp will be held in the CU Carter Center. Two gymnasiums are located on the main level, as well as a swimming pool.
Arrival/Departure Campers should plan to arrive on the first day of camp at noon. Registration will take place in the lobby of the Carter Center between 12:00 pm and 1:00 pm. The first session will begin at 2:00 pm.
Camp Objectives • Instruction and team play will be according to age and experience of the individual. • Players will be thoroughly instructed in the fundamentals of basketball. • Team competition: a team will consist of up to 8 players • We will expect good sportsmanship at all times. • We think the game of basketball is fun and plan to play it that way.
Awards
Trophies are awarded in each group: Free Throw, Hot Shot, Knockout, League Champions, Heart & Hustle, Most Improved, Sportsmanship, Best Rebounder, Outstanding Camper, and MVP.
To Enroll
Tear off, fill out, and mail in the form on the reverse side, along with a $50.00 nonrefundable deposit to:
Kent McBride Head Men’s Basketball Coach Concord University Athens West Virginia 24712
Make all Checks out to : Concord University Foundation, Inc. Memo: Men’s Basketball
