U p p er Iow a U n iversity B asketb all S ch ool

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Please enroll me in the following camp (s): ELITE SCHOOL - SESSION 1 TEAM CAMP - SESSION 2 INSTRUCTIONAL SCHOOL - SESSION 3

Name

Address

City / State / Zip

Phone Number

School

Email Address

Circle One:

Resident

Commuter

Roommate Request: __________________________________________________ T-Shirt Size: S

M

L

Grade (Fall ‘10)

XL

Height

XXL

Weight

Name of Parent or Guardian

Parent’s / Guardian Signature

Participant’s Signature

Emergency Phone Number

Medical Insurance Co. & Policy #

Release: In consideration of the acceptance of this application, I, intending to be legally bound hereby for myself, my heirs, executors, administrators, waved and released any and all claims for damages I may have against Upper Iowa University or it representatives and/ or assignees for any and all damages which may be sustained and suffered out of traveling to, participating in, and returning from camp. Upper Iowa University Men’s Basketball Office Dorman Gymnasium P.O. Box 1857 Fayette, IA 52142

For Office Use Only: Date Rec’d

Amt. Rec’d

Upper Iowa University Basketball School

Men’s Basketball Office Dorman Gymnasium P.O. Box 1857 Fayette, IA 52142

CAMP APPLICATION FORM

ELITE SCHOOL

DEPOSIT / REFUND

Prior experience in an elite level camp or as a varsity starter is strongly recommended

A $50 deposit must accompany all applications for each overnight camp or full payment must be received for all day camps. Checks can be made payable to Upper Iowa University. Refunds will be given (minus $15 processing fee) for cancellations made 2 weeks prior to the camp date. No refunds will be given for no-shows or campers sent home for disciplinary reasons.

AGES: Incoming 9th - Incoming College Freshmen DATES: June 4 - 5, 2010 COST: $75 The Upper Iowa Basketball Elite School is for talented college-bound athletes. It is designed for intense individual instruction, teamwork and a competitive game environment. This school is intended for players with advanced skill and a high level of talent. The school has limited enrollment and preregistration is required. Due to limited space available, Elite School admission will be determined by lottery. All applications must be received by May 15, 2010.

HIGH SCHOOL TEAM CAMP AGES: High School Teams DATES: June 6, 2010 COST: $200 - one team; $350 - two teams FEATURING: Peacock Basketball Camp T-Shirt, league play plus tournament games, all team players must have high school eligibility remaining.

INSTRUCTIONAL SCHOOL AGES: Incoming 4th - Incoming College Freshmen DATES: July 15 - 18, 2010 COST: $240 for Residents, $195 for Commuters Early Peacock Special - $15 off all applications received before June 8, 2010 FEATURING: Offensive and defensive individual skill development, team concepts and breakdowns, team league play, 3 on 3 tournament, contest awards, tournament play, individual evaluations, and camp T-shirt..

INSURANCE

CAMP STAFF

Head Coach Brian Dolan

All campers MUST have their own health insurance or admission to camp will be denied.

LOCATION Upper Iowa University is located in the community of Fayette in NE Iowa. Our campus is located right off Highway 150; just follow the signs. * Decorah / Waterloo

36 / 52 miles

* Cedar Rapids / Dubuque

70 / 80 miles

CONFIRMATION New this year, upon receipt of camper’s application and deposit, a confirmation packet will be email to the account you provide on the application. Your confirmation will provide complete information regarding all details of the camp.

“Over the last several years, Upper Iowa University has provided young basketball players with an opportunity to develop their basketball skills. Campers receive individual attention throughout camp from highly qualified high school and college coaches, as well as, members of the Upper Iowa basketball team. Campers have the opportunity to enhance their understanding of what it takes to become a complete basketball player, as a result of our carefully planned schedules that allow for maximum skill development.”

“Our staff truly appreciates being a part of the growth of Assistant Coach Keven Bradley young basketball players and we have been fortunate to have the dedication of campers who return each year to continue working on their skills and we welcome the chance to work with new campers who want to become part of our tradition. We look forward to seeing and working with each one of you and we hope to help you reach Assistant Coach Nick Kramer your goals at camp this summer.”

ROOM / BOARD AND MEALS Resident campers will be housed two to a room in Garbee Residence Hall, 200 yards from Dorman Gymnasium. Each room includes a window mounted air conditioner! Campers receive constant supervision as counselors and coaches room on the same floors. Meals will be served in the residence dining center, which is also located within Garbee Hall. Commuters will not eat breakfast on campus, but will be provided with lunch and dinner.

FACILITIES

- Coach Dolan

2010 CAMP COUNSELORS

Matt Lesan

At Upper Iowa University, we feel we have one of the finest camp facilities in the state. Campers play in both Dorman Gymnasium, home of the men’s and women’s basketball teams, and the Recreation and Fitness Center. Transporting campers from one site to another, long walks across campus and outdoor sessions are not necessary during our camps due to the layout of campus. This allows more time for instructional and basketball development for each camper. Dan Bestul



Neil Gross



Alex Huisman



Brad Arnold



Jared Herzberg



Keith Steffeck



Mark Lafrenz



Jake Shonka

Chris Sullivan

Alex Kramer