PLACE STAMP HERE
PARENT RELEASE & EVENT WAIVER I, desire my child ___________________ to participate in East Central University Team Camp and do hereby give my consent to allow my child to participate in the Activity. I certify that my child is physically and mentally able to participate in te Activity and that my child will follow all appropriate safety precautions and instructions. I am aware that ECU will not be liable for injuries that may occur during participation. I therefore agree to assume all risks and responsibilities in any way associated with this Activity. In consideration of and return for services, facilities, and other assistance provided to me by ECU in this Activity, I release ECU, its governing board, officers, agents, employees, and other students acting as employees, from and against any and all liability, claims. Demands, and actions caused entirely or in part by any acts or failures to act of ECU, including but not limited to negligence, mistake, or failure to supervise by ECU. I acknowledge that ECU does not carry life, health, or accident insurance on my
EAST CENTRAL UNIVERSITY
child. ECU has advised me that I will be
such insurance.
Ada, OK 74820
has encouraged me to secure my own
1100 E. 14th Street
injured during the Activity and that ECU
East Central University
which my child may incur if my child is
ATTN: Women’s Basketball
responsible for any medical charges
WOMEN’S BASKETBALL JUNIOR HIGH TEAM CAMP
TEAM CAMP
East Central Team Camp June 13-15: Junior High Team Camp COMMUTER CAMP ONLY: $65 per player
June 13-15 | GRADES 5-8
Name____________________________________
Junior High and Club teams, each
Address__________________________________
players. Any club teams in the
City_____________ State______ Zip__________
Each team is guaranteed 8 games
Adult/Youth T-Shirt Size_____________________
to follow. Each coach is responsible
Parent’s Name____________________________
and off the court. Teams should
Phone (
physicals and payments in one
)_____________ Grade 16-17____
Name of School___________________________ Parent’s Email____________________________ Coach’s Name___________________________ Make checks payable to: East Central
team must have a minimum of 8 Junior High grades are welcome.
and payment in one packet to:
for the actions of his/her players on send in registration forms, copy of packet.
tral campus at the Kerr Center. Game will also be played at an additional gym location in Ada.
Kerr Center 1100 E. 14th Street Ada, OK 74820
TRAINING STAFF A physical exam from the 2015-2016 school year is required for every participant attending Team Camp. A member of the East Central Athletic Training Staff
Guarantee of 8 games
will be on hand for camp.
Round Robin & Tournament Play Games in Kerr Center Officials provided Camp T-Shirts included in cost Commuter Team Camp ONLY
-Check-In June 13th 11 am-Noon
The lobby of Kerr Center
East Central University
-Day 1: 1:00pm-6:00 pm
ATTN: Women’s Basketball
-Day 2: 9:00 am-6:00 pm
1100 E. 14th Street
-Day 3: 9:00 am-12:00 pm
Ada, OK 74820
Games will be played on the East Cen-
round robin play with a tournament
Women’s Basketball. Please send in registration forms, copy of physicals
CAMP LOCATION
****Team Deposit: $200 per team
Please contact HEATHER ROBBEN East Central University Assistant Women’s Basketball Coach if you have questions regarding team camp information. Email:
[email protected] Office Number: 580.559.5789