Mountain Lion Girl's Basketball Instructional Camp Mountain Lion ...
Mountain Lion Basketball Camp
Enrollment form & Medical Treatment Release Name______________________________________________________________ last ____________________________________________________________________ first middle Adress_____________________________________________________________ City__________________ State__________________Zip___________________
Email______________________________________________________________ Age__________________ Grade Fall 2015____________________________
School_____________________________________________________________ Resident
Commuter
(check one)
Mountain Lion Girl’s Basketball Instructional Camp
Roommate Preference___________________________________________ Parent/Guardian Name__________________________________________
Home Phone _____________________________________________________
Ages 8 - 18
Work Phone______________________________________________________
Camp Director: Kenny Osborne, Head Coach
Emergency Phone Number:
• Day ___________________________________________________________ • Night__________________________________________________________
Concord University
Date of last tetanus immunization:
____________________________________________________________________ day/month/year
Office Phone: 304-384-5344
____________________________________________________________________
List of any conditions the camp directors should know about: ____________________________________________________________________ ____________________________________________________________________ I hereby certify that my daughter/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 daughter/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: Parent/Guardian Signature
____________________________________________________________________ Insurance Co. ______________________________ Policy# _____________
Name on Policy___________________________________________________
Campus Box 77 PO Box 1000 Athens, WV 24712-1000
____________________________________________________________________
CONCORD UNIVERSITY Women’s Basketball
List of any allergies to medication:
July 15-18, 2015
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 15-18
RESIDENT CAMPERS (includes room and meals) • $225.00
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 (no room) • $185.00
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
The Concord University cafeteria will be available for meals. Commuters will not receive breakfast ALL Campers will have the opportunity to swim until 9:30 pm.
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.
Evening sessions will be over between 8:30 and 9:30 p.m. Parents are always welcome.
Arrival/Departure Campers should plan to arrive the first day of camp at 2:00pm. Registration will take place in the lobby of the Carter Center between 2:00pm and 3:00pm. The first session will begin at 3:15pm.
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: MVP, Heart and Hustle, Most Improved, Best Foul Shot, Sportsmanship, 3 on 3 Champions, and League Champions.
To Enroll
Tear off, fill out, and mail in the form on the reverse side, along with a $50.00 nonrefundable deposit to:
Kenny Osborne Head Women’s Basketball Coach Concord University Athens West Virginia 24712
Make all checks out to: Concord University Foundation, Inc. Memo: Women’s Basketball
Enrollment form & Medical Treatment Release Name______________________________________________________________ last ____________________________________________________________________ first middle Adress_____________________________________________________________ City__________________ State__________________Zip___________________
Email______________________________________________________________ Age__________________ Grade Fall 2015____________________________
School_____________________________________________________________ Resident
Commuter
(check one)
Mountain Lion Girl’s Basketball Instructional Camp
Roommate Preference___________________________________________ Parent/Guardian Name__________________________________________
Home Phone _____________________________________________________
Ages 8 - 18
Work Phone______________________________________________________
Camp Director: Kenny Osborne, Head Coach
Emergency Phone Number:
• Day ___________________________________________________________ • Night__________________________________________________________
Concord University
Date of last tetanus immunization:
____________________________________________________________________ day/month/year
Office Phone: 304-384-5344
____________________________________________________________________
List of any conditions the camp directors should know about: ____________________________________________________________________ ____________________________________________________________________ I hereby certify that my daughter/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 daughter/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: Parent/Guardian Signature
____________________________________________________________________ Insurance Co. ______________________________ Policy# _____________
Name on Policy___________________________________________________
Campus Box 77 PO Box 1000 Athens, WV 24712-1000
____________________________________________________________________
CONCORD UNIVERSITY Women’s Basketball
List of any allergies to medication:
July 15-18, 2015
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 15-18
RESIDENT CAMPERS (includes room and meals) • $225.00
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 (no room) • $185.00
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
The Concord University cafeteria will be available for meals. Commuters will not receive breakfast ALL Campers will have the opportunity to swim until 9:30 pm.
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.
Evening sessions will be over between 8:30 and 9:30 p.m. Parents are always welcome.
Arrival/Departure Campers should plan to arrive the first day of camp at 2:00pm. Registration will take place in the lobby of the Carter Center between 2:00pm and 3:00pm. The first session will begin at 3:15pm.
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: MVP, Heart and Hustle, Most Improved, Best Foul Shot, Sportsmanship, 3 on 3 Champions, and League Champions.
To Enroll
Tear off, fill out, and mail in the form on the reverse side, along with a $50.00 nonrefundable deposit to:
Kenny Osborne Head Women’s Basketball Coach Concord University Athens West Virginia 24712
Make all checks out to: Concord University Foundation, Inc. Memo: Women’s Basketball
