TEAMCAMPS LIL' RAIDER CAMP
CAMP FEATURES:
• High-level competition • Will schedule to meet your needs • Certified MT athletic trainer (teams must provide their own tape and training equipment)
Registration: June 3
Registration: June 15
Registration: June 17 • Camp store with T-shirts, shorts , etc. • Buffet-style cafeteria (allyou-can eat) • Air-conditioned dorm rooms (two per room, no private rooms)
NOTES:
• If you would like to stay in a hotel, you will be responsible for making arrangements and can pay the Commuter camp price. Questions? Call Richard Lowe. • Each player needs to complete the liability waiver. Copy the one in this brochure if necessary. • Please send team roster with team registration fee. Please include player name, age, and grade entering in Fall 2015.
Camp 1: June 3-5 (Overnight team camp)
Deadline: May 26
Camp 2: June 15-17 (Overnight team camp)
Deadline: May 29
Camp 3: June 17-19 (Overnight team camp)
Deadline: June 7
Team registration fee $150 Commuters $50 per player Commuters w/meals $110 per player Overnight $185 per player Extra coach/chaperone $100 each 10-23 players - two free staff 24+ players - three free staff • Daily Instruction (8 AMNoon) • Three divisions (K-2, 3-5, 6-8,) • Station work: defense, ball handling, shooting, guard play, post play, rebounding, screening and passing • 5-on-5 competition
CAMP FEATURES: • Player profile cards outlining camper performance • Each camper receives a T-shirt • Camp store with T-shirts, shorts, and other camp gear • Walkups welcome • Early registration due by May 19
Registration: June 1, 7 AM Cost: $100
r Team Camp III (June 17-19, 2015)
Registration Type:
r Lil’ Raider Camp
r Elite Camp - June 13
r Elite Camp - June 20
Make checks payable to Hoops5 Personal checks will be accepted during on-site registration!
Roommate Request: _____________________________ Check #: __________________ Amount Paid: ___________________________
School: ________________________________________ Coach: ______________________________ School Phone: __________________
Parent’s Name: ____________________________________ Home Phone: _______________________ Cell Phone: ____________________
City:_____________________________________State:______________Zip:_______________Email:__________________________________________
Address:___________________________________________________________________________________________________________________________
Camper’s Name: ____________________________________________________ Grade entering: _________________ Age:_____________
Detach this portion and return with at least a $25 non-refundable deposit to reserve your spot in camp. Balance due at registration. Each participant must complete the liability waiver attached in brochure.
Lil’ Raider & Elite Camp Application
(Teams on campus must have adult supervision) Make checks payable to Hoops5. Personal checks will be accepted during on-site registration!
Check #: ____________________________________________ Amount Paid: __________________________________________________
Number of games you would like to request per day: Varsity:______ JV:_______ Freshman:________ Middle School:__________
Cell Phone: _______________________________ Home Phone: _________________________ E-mail: ______________________________
Coach’s Home Address: ______________________________________ City: ___________________ State: ______ Zip: _________________
City: ________________________________ State: _____________ Zip: ______________ School Phone: ____________________________
School Address: ____________________________________________________________________________________________________
Coach Name: ____________________________________________________________ School: __________________________________
Select Registration: r Dorms r Hotel r Commuter r Commuter w/meals Level of Competition: r Low r Medium r High
r Team Camp II (June 15-17 2015)
LIL’ RAIDER CAMP June 1-3
Select Camp Date: r Team Camp I (June 3-5 2015)
for all girls age 5-to-8th grade
Detach this portion and return with a $150 non-refundable deposit, which holds your team’s spot. Upon receipt of non-refundable deposit, we will send detailed camp information along.
for all middle school, freshman, JV and varsity high school teams
June 3-5 June 15-17 June 17-19
Team Camp Application
TEAM CAMPS
Richard Lowe
Phone: 615-898-5207 Fax: 615-898-5626 E-mail: [email protected] 2015 MTSU Women’s Basketball Summer Camps Liability Waiver
ELITE CAMPS June 13 - Rising 5th thru 8th graders June 20 - Rising 9th thru 12th graders
st
(Each participant must complete this form & turn in 1 day of camp)
SCHOOL_____________________________________________ CAMPER RELEASE OF LIABILITY WAIVER AND MEDICAL POLICY:
I/we (Parent) the undersigned hereby certify that I/we are the parent or legal guardian of the below Participant. I/we give permission for Participant to participate in the 2015 Middle Tennessee Women’s Basketball Summer Camp (MTWBBSC) at Middle Tennessee State University (MTSU). MTWBBSC is an independently-operated camp that is not affiliated with MTSU. While participating at MTWBBSC, Participant also may reside in MTSUs on-campus residence halls. Participant’s participation in MTWBBSC, including, if applicable, residing in MTSU residence halls, is hereinafter referred to as Activity. Parents’ agreement to allow Participant to participate in the Activity is entirely voluntary. Parent is the duly authorized guardian or parent of Participant and has full and exclusive authority to make the agreements contained herein. Acknowledgement of Risk: Participant and Parent (collective we) understand that the Activity involves certain risks, hazards and conditions that may be dangerous to life, limb and property that can arise in incalculable variety of unforeseen or foreseeable ways, which may include: bodily injury, loss of limb, death or property damage. I/we, hereby acknowledge that participation in all basketball camp activities involves inherent risks of physical injury and assume all such risks. Participant is participating and Parent is voluntarily giving permission for Participant to participate in Activity with knowledge of the dangers involved. Medical Release: Participant is not suffering from any medical condition, impairment, or disease that would prevent his/her safe participation in the Activity. I/we have disclosed any and all of Participant’s medical conditions to the administrators of the Activity. I/we acknowledge that Participant is physically fit and mentally capable of participating in basketball and all MTWBBSC activities. Participant will use care for his or her own safety and well-being. Participant has not been advised by a physician or any other health care provider to limit his or her participation in activities such as the Activity. I/we represent that I/we have sought the opinion of Participant’s pediatrician, and he/she concurs that Participant is fully capable of safely engaging in these activities. Participant and Parent assume responsibility for the Participant’s participation in the Activity and injury while participating in the Activity. I/we understand that MTWBBSC and/or MTSU will have an athletic trainer available at the location of the Activity. I/we therefore grant MTWBBSC and/or MTSU permission to authorize emergency medical treatment, if deemed necessary by MTWBBSC and/or MTSU. I/we agree that MTWBBSC and/or MTSU assume no responsibility or liability for any injury or damage that might arise out of or in connection with such authorized medical treatment. I/we further state that we have adequate health insurance necessary to provide for and pay for any medical costs that we may incur during or arising from Participant’s participation in this activity. I/we accept full responsibility for any expenses incurred to the extent such expenses are not covered by my/our health insurance. Release of Liability and Hold Harmless: In consideration for the right to participate in the Activity, Participant and Parent agree to assume the risks involved and acknowledge that such risks may include, but not be limited to, bodily injury and/or death and/or property damage, and hereby collectively and individually release and agree to indemnify and hold harmless Coach Rick Insell, MTWBBSC and its staff, MTSU, its Board of Regents, and their respective officers, employees, agents, representatives, volunteers, and assigns (collectively Releasees) to the fullest extent allowed by law from all rights, claims, demands and damages of any kind, known or unknown, existing or arising in the future resulting from or related to Participant’s participation in the Activity. This release will also prevent Participant’s family from suing Releasees and binds Participant’s estate, siblings, parents, heirs, personal representatives and assigns. Image Release: I/we grant permission to MTWBBSC, MTSU, and their respective agents or employees to use photographs or images taken of Participant for publication in camp or university publications such as camp brochures, social media sites, promotions, newsletters, and magazines, and to use the photos on websites, and to offer them for publication in other non-university newspapers, magazines and websites, without notifying us. I/we understand that we will receive no compensation for this agreement. I/we hereby assign any copyright or other proprietary interest which I/we might assert in Participant’s participation in this activity to MTWBBSC or MTSU. MTWBBSC and MTSU may exercise any of these rights itself or through any successors, transferees, licensees, distributors or other parties, commercial or non-profit. If any terms and conditions of this Agreement are held to be invalid or unenforceable as a matter of law, the other terms and conditions hereof shall not be affected thereby and shall remain in full force and effect. Participant and Parent have read and understand this Release and Hold Harmless Agreement in its entirety and voluntarily enter into same, without reliance on any representations, statements or inducements, express or implied, made by any party whatsoever. Pursuant to Tenn. Code Ann 47-10-101 et seq. I/we expressly agree to conduct this transaction by electronic means. I/we understand that I/we have had the opportunity to ask questions or object to any of the terms of this transaction by contacting MTWBBSC and/or MTSU. By entering this agreement, I/we acknowledge that we fully understand and do not object to any of the terms of this transaction.
Print Participant's Name__________________________
Age_________ Grade _________
Parent/Guardian's Name____________________________ Home #____________________ Home Address________________________________________________________________ City/State/Zip_________________________________________________________________ Emergency Contact___________________________ Phone___________________________
Player Development is our MAIN goal. Our Elite Camp is “High Intensity!” CAMP FEATURES: • Advanced basketball skill work and player development • Daily lectures with emphasis on offensive and defensive concepts, weight training and NCAA requirements • Certified MT athletic trainer • 5-on-5 competition
• 3-on-3 competition • Camp store with T-shirts, shorts , etc. • Each camper receives a free T-shirt • Walkups welcome • Early registration due by June 1
Middle Tennessee Women’s Basketball Camps MTSU Box 424 Murfreesboro, TN 37132
For more information contact
2015 MIDDLE TENNESSEE WOMEN’S BASKETBALL CAMPS On the campus of Middle Tennessee State University Home of 6 consecutive Conference Championships
Registration: June 13 & 20, 10:30-11:30 a.m. First Session begins at 12 p.m. Cost: $50 Elite Camp is open to any and all entrants
Is camper allergic to any medication? If yes please list: ________________________________ Participant's Signature__________________________________________________________ Parent/Guardian's Signature (if under 18) ______________________________ Date_________
Important Camp Registration information to remember: 1. Complete Application 2. Each player needs to complete and turn in a liability waiver at registration. (Obtain form online at GoBlueRaiders.com) 3. Camp fees must be paid in full prior to participation. 4. Make checks payable to Hoops5. 5. Send to Box 424 Murfreesboro, TN 37132
CAMP DATES
2015 Camp Counselors
Lil’ Raider June 1-3 Team Camp I June 3-5 Team Camp II June 15-17 Team Camp III June 17-19 Elite Camp I & II June 13 & 20
• High-level competition • Will schedule to meet your needs • Certified MT athletic trainer (teams must provide their own tape and training equipment)
Registration: June 3
Registration: June 15
Registration: June 17 • Camp store with T-shirts, shorts , etc. • Buffet-style cafeteria (allyou-can eat) • Air-conditioned dorm rooms (two per room, no private rooms)
NOTES:
• If you would like to stay in a hotel, you will be responsible for making arrangements and can pay the Commuter camp price. Questions? Call Richard Lowe. • Each player needs to complete the liability waiver. Copy the one in this brochure if necessary. • Please send team roster with team registration fee. Please include player name, age, and grade entering in Fall 2015.
Camp 1: June 3-5 (Overnight team camp)
Deadline: May 26
Camp 2: June 15-17 (Overnight team camp)
Deadline: May 29
Camp 3: June 17-19 (Overnight team camp)
Deadline: June 7
Team registration fee $150 Commuters $50 per player Commuters w/meals $110 per player Overnight $185 per player Extra coach/chaperone $100 each 10-23 players - two free staff 24+ players - three free staff • Daily Instruction (8 AMNoon) • Three divisions (K-2, 3-5, 6-8,) • Station work: defense, ball handling, shooting, guard play, post play, rebounding, screening and passing • 5-on-5 competition
CAMP FEATURES: • Player profile cards outlining camper performance • Each camper receives a T-shirt • Camp store with T-shirts, shorts, and other camp gear • Walkups welcome • Early registration due by May 19
Registration: June 1, 7 AM Cost: $100
r Team Camp III (June 17-19, 2015)
Registration Type:
r Lil’ Raider Camp
r Elite Camp - June 13
r Elite Camp - June 20
Make checks payable to Hoops5 Personal checks will be accepted during on-site registration!
Roommate Request: _____________________________ Check #: __________________ Amount Paid: ___________________________
School: ________________________________________ Coach: ______________________________ School Phone: __________________
Parent’s Name: ____________________________________ Home Phone: _______________________ Cell Phone: ____________________
City:_____________________________________State:______________Zip:_______________Email:__________________________________________
Address:___________________________________________________________________________________________________________________________
Camper’s Name: ____________________________________________________ Grade entering: _________________ Age:_____________
Detach this portion and return with at least a $25 non-refundable deposit to reserve your spot in camp. Balance due at registration. Each participant must complete the liability waiver attached in brochure.
Lil’ Raider & Elite Camp Application
(Teams on campus must have adult supervision) Make checks payable to Hoops5. Personal checks will be accepted during on-site registration!
Check #: ____________________________________________ Amount Paid: __________________________________________________
Number of games you would like to request per day: Varsity:______ JV:_______ Freshman:________ Middle School:__________
Cell Phone: _______________________________ Home Phone: _________________________ E-mail: ______________________________
Coach’s Home Address: ______________________________________ City: ___________________ State: ______ Zip: _________________
City: ________________________________ State: _____________ Zip: ______________ School Phone: ____________________________
School Address: ____________________________________________________________________________________________________
Coach Name: ____________________________________________________________ School: __________________________________
Select Registration: r Dorms r Hotel r Commuter r Commuter w/meals Level of Competition: r Low r Medium r High
r Team Camp II (June 15-17 2015)
LIL’ RAIDER CAMP June 1-3
Select Camp Date: r Team Camp I (June 3-5 2015)
for all girls age 5-to-8th grade
Detach this portion and return with a $150 non-refundable deposit, which holds your team’s spot. Upon receipt of non-refundable deposit, we will send detailed camp information along.
for all middle school, freshman, JV and varsity high school teams
June 3-5 June 15-17 June 17-19
Team Camp Application
TEAM CAMPS
Richard Lowe
Phone: 615-898-5207 Fax: 615-898-5626 E-mail: [email protected] 2015 MTSU Women’s Basketball Summer Camps Liability Waiver
ELITE CAMPS June 13 - Rising 5th thru 8th graders June 20 - Rising 9th thru 12th graders
st
(Each participant must complete this form & turn in 1 day of camp)
SCHOOL_____________________________________________ CAMPER RELEASE OF LIABILITY WAIVER AND MEDICAL POLICY:
I/we (Parent) the undersigned hereby certify that I/we are the parent or legal guardian of the below Participant. I/we give permission for Participant to participate in the 2015 Middle Tennessee Women’s Basketball Summer Camp (MTWBBSC) at Middle Tennessee State University (MTSU). MTWBBSC is an independently-operated camp that is not affiliated with MTSU. While participating at MTWBBSC, Participant also may reside in MTSUs on-campus residence halls. Participant’s participation in MTWBBSC, including, if applicable, residing in MTSU residence halls, is hereinafter referred to as Activity. Parents’ agreement to allow Participant to participate in the Activity is entirely voluntary. Parent is the duly authorized guardian or parent of Participant and has full and exclusive authority to make the agreements contained herein. Acknowledgement of Risk: Participant and Parent (collective we) understand that the Activity involves certain risks, hazards and conditions that may be dangerous to life, limb and property that can arise in incalculable variety of unforeseen or foreseeable ways, which may include: bodily injury, loss of limb, death or property damage. I/we, hereby acknowledge that participation in all basketball camp activities involves inherent risks of physical injury and assume all such risks. Participant is participating and Parent is voluntarily giving permission for Participant to participate in Activity with knowledge of the dangers involved. Medical Release: Participant is not suffering from any medical condition, impairment, or disease that would prevent his/her safe participation in the Activity. I/we have disclosed any and all of Participant’s medical conditions to the administrators of the Activity. I/we acknowledge that Participant is physically fit and mentally capable of participating in basketball and all MTWBBSC activities. Participant will use care for his or her own safety and well-being. Participant has not been advised by a physician or any other health care provider to limit his or her participation in activities such as the Activity. I/we represent that I/we have sought the opinion of Participant’s pediatrician, and he/she concurs that Participant is fully capable of safely engaging in these activities. Participant and Parent assume responsibility for the Participant’s participation in the Activity and injury while participating in the Activity. I/we understand that MTWBBSC and/or MTSU will have an athletic trainer available at the location of the Activity. I/we therefore grant MTWBBSC and/or MTSU permission to authorize emergency medical treatment, if deemed necessary by MTWBBSC and/or MTSU. I/we agree that MTWBBSC and/or MTSU assume no responsibility or liability for any injury or damage that might arise out of or in connection with such authorized medical treatment. I/we further state that we have adequate health insurance necessary to provide for and pay for any medical costs that we may incur during or arising from Participant’s participation in this activity. I/we accept full responsibility for any expenses incurred to the extent such expenses are not covered by my/our health insurance. Release of Liability and Hold Harmless: In consideration for the right to participate in the Activity, Participant and Parent agree to assume the risks involved and acknowledge that such risks may include, but not be limited to, bodily injury and/or death and/or property damage, and hereby collectively and individually release and agree to indemnify and hold harmless Coach Rick Insell, MTWBBSC and its staff, MTSU, its Board of Regents, and their respective officers, employees, agents, representatives, volunteers, and assigns (collectively Releasees) to the fullest extent allowed by law from all rights, claims, demands and damages of any kind, known or unknown, existing or arising in the future resulting from or related to Participant’s participation in the Activity. This release will also prevent Participant’s family from suing Releasees and binds Participant’s estate, siblings, parents, heirs, personal representatives and assigns. Image Release: I/we grant permission to MTWBBSC, MTSU, and their respective agents or employees to use photographs or images taken of Participant for publication in camp or university publications such as camp brochures, social media sites, promotions, newsletters, and magazines, and to use the photos on websites, and to offer them for publication in other non-university newspapers, magazines and websites, without notifying us. I/we understand that we will receive no compensation for this agreement. I/we hereby assign any copyright or other proprietary interest which I/we might assert in Participant’s participation in this activity to MTWBBSC or MTSU. MTWBBSC and MTSU may exercise any of these rights itself or through any successors, transferees, licensees, distributors or other parties, commercial or non-profit. If any terms and conditions of this Agreement are held to be invalid or unenforceable as a matter of law, the other terms and conditions hereof shall not be affected thereby and shall remain in full force and effect. Participant and Parent have read and understand this Release and Hold Harmless Agreement in its entirety and voluntarily enter into same, without reliance on any representations, statements or inducements, express or implied, made by any party whatsoever. Pursuant to Tenn. Code Ann 47-10-101 et seq. I/we expressly agree to conduct this transaction by electronic means. I/we understand that I/we have had the opportunity to ask questions or object to any of the terms of this transaction by contacting MTWBBSC and/or MTSU. By entering this agreement, I/we acknowledge that we fully understand and do not object to any of the terms of this transaction.
Print Participant's Name__________________________
Age_________ Grade _________
Parent/Guardian's Name____________________________ Home #____________________ Home Address________________________________________________________________ City/State/Zip_________________________________________________________________ Emergency Contact___________________________ Phone___________________________
Player Development is our MAIN goal. Our Elite Camp is “High Intensity!” CAMP FEATURES: • Advanced basketball skill work and player development • Daily lectures with emphasis on offensive and defensive concepts, weight training and NCAA requirements • Certified MT athletic trainer • 5-on-5 competition
• 3-on-3 competition • Camp store with T-shirts, shorts , etc. • Each camper receives a free T-shirt • Walkups welcome • Early registration due by June 1
Middle Tennessee Women’s Basketball Camps MTSU Box 424 Murfreesboro, TN 37132
For more information contact
2015 MIDDLE TENNESSEE WOMEN’S BASKETBALL CAMPS On the campus of Middle Tennessee State University Home of 6 consecutive Conference Championships
Registration: June 13 & 20, 10:30-11:30 a.m. First Session begins at 12 p.m. Cost: $50 Elite Camp is open to any and all entrants
Is camper allergic to any medication? If yes please list: ________________________________ Participant's Signature__________________________________________________________ Parent/Guardian's Signature (if under 18) ______________________________ Date_________
Important Camp Registration information to remember: 1. Complete Application 2. Each player needs to complete and turn in a liability waiver at registration. (Obtain form online at GoBlueRaiders.com) 3. Camp fees must be paid in full prior to participation. 4. Make checks payable to Hoops5. 5. Send to Box 424 Murfreesboro, TN 37132
CAMP DATES
2015 Camp Counselors
Lil’ Raider June 1-3 Team Camp I June 3-5 Team Camp II June 15-17 Team Camp III June 17-19 Elite Camp I & II June 13 & 20
