WHAT TO BRING: -Basketball Shoes -Athletic Socks -Shorts & T-Shirt
CAMP HIGHLIGHTS: Learn the Fundamentals -Shooting -Dribbling & Passing -Defensive Principles -Attitude 3 on 3 & 5 on 5 Play Contests / Prizes Including Competitions: -Foul Shooting -3 Point Contest
WHAT TO BRING: -Basketball Shoes -Athletic Socks -Shorts & T-Shirt
Each Camper Receives: -Camp Ball -Camp Trophy -Camp T-Shirt -Camp Photo -Camp Evaluation
June 13-17 Boys & Girls (Ages 6-15)
GOLDENBEARATHLETICS.COM
__________________________ Signature:
Medical Insurance Provider / Policy #
School
Send Completed Form & Check To: Bob Williams WVU Tech Basketball Office 405 Fayette Pike Montgomery, WV 25136
June 13-17_____
Emergency Contact / Phone
State City
Age
Grade (Fall 16)
I hereby authorize my son or daughter to attend and participate in the Little Stars Basketball Camp at the Neal D. Baisi Athletic Center. I hereby authorize, by signing this release, that the camp staff and trainer act for my son/daughter in their best judgment in any emergency situation. I certify that he/she is in good health and is able to participate in all activities. I understand that the Little Stars Basketball Camp will not be held liable for any injuries sustained during camp.
Zip
GIRL
BOY
Week Attending
Contact: Bob Williams WVU Tech Head Basketball Coach 304.442.3250 [email protected]
Phone
Nic Kjaerholt returned to Tech in 2014 as an assistant coach and helped the team to the 2015 NAIA DI Nationals. Coach Kjaerholt played for the Golden Bears from 2009-2011 and was team captain. From 2012-2014 he was an assistant coach at Rio Grande. Kjaerholt is a native of Denmark, where he played for his national team.
Camp Schedule: Mon-Thur 9:00 am – 3:00 pm Friday: Camp Ends 12:15 Awards Ceremony 12:00 (If needed: Early drop-off 8am & Late pick-up 4pm)
(S, M, L, XL, XXL)
Assistant Camp Director
Cost: $125 (lunch is included)
Street Address
WVU Tech
Lunch: Included in the cost of attendance.
Youth / Adult
Assistant Coach
Staff: WVU Tech Staff, Players & Area Coaches
NAME
Nic Kjaerholt
Location: WVU Tech Neal D. Baisi Athletic Center Montgomery, WV
(please circle)
Coach Bob Williams has been the head coach of the Golden Bears for the past 14 seasons. Coach Williams led Tech to the 2015 NAIA DI Nationals with a 23-10 record. Coach Williams has over 300 career victories and Tech has averaged 20 wins per year over the past 4 seasons. Coach Williams brings over twenty-five years of coaching and camp experience to the Little Stars Basketball Camp.
_____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________
Camp Director
T-Shirt Size
Head Coach
Eligibility: Boys & Girls Ages 6-15
Please Make Checks Payable to: WVU Tech Men’s Basketball
WVU Tech
2016 Little Stars Camp Application
Bob Williams
WHAT TO BRING: -Basketball Shoes -Athletic Socks -Shorts & T-Shirt
Each Camper Receives: -Camp Ball -Camp Trophy -Camp T-Shirt -Camp Photo -Camp Evaluation
June 13-17 Boys & Girls (Ages 6-15)
GOLDENBEARATHLETICS.COM
__________________________ Signature:
Medical Insurance Provider / Policy #
School
Send Completed Form & Check To: Bob Williams WVU Tech Basketball Office 405 Fayette Pike Montgomery, WV 25136
June 13-17_____
Emergency Contact / Phone
State City
Age
Grade (Fall 16)
I hereby authorize my son or daughter to attend and participate in the Little Stars Basketball Camp at the Neal D. Baisi Athletic Center. I hereby authorize, by signing this release, that the camp staff and trainer act for my son/daughter in their best judgment in any emergency situation. I certify that he/she is in good health and is able to participate in all activities. I understand that the Little Stars Basketball Camp will not be held liable for any injuries sustained during camp.
Zip
GIRL
BOY
Week Attending
Contact: Bob Williams WVU Tech Head Basketball Coach 304.442.3250 [email protected]
Phone
Nic Kjaerholt returned to Tech in 2014 as an assistant coach and helped the team to the 2015 NAIA DI Nationals. Coach Kjaerholt played for the Golden Bears from 2009-2011 and was team captain. From 2012-2014 he was an assistant coach at Rio Grande. Kjaerholt is a native of Denmark, where he played for his national team.
Camp Schedule: Mon-Thur 9:00 am – 3:00 pm Friday: Camp Ends 12:15 Awards Ceremony 12:00 (If needed: Early drop-off 8am & Late pick-up 4pm)
(S, M, L, XL, XXL)
Assistant Camp Director
Cost: $125 (lunch is included)
Street Address
WVU Tech
Lunch: Included in the cost of attendance.
Youth / Adult
Assistant Coach
Staff: WVU Tech Staff, Players & Area Coaches
NAME
Nic Kjaerholt
Location: WVU Tech Neal D. Baisi Athletic Center Montgomery, WV
(please circle)
Coach Bob Williams has been the head coach of the Golden Bears for the past 14 seasons. Coach Williams led Tech to the 2015 NAIA DI Nationals with a 23-10 record. Coach Williams has over 300 career victories and Tech has averaged 20 wins per year over the past 4 seasons. Coach Williams brings over twenty-five years of coaching and camp experience to the Little Stars Basketball Camp.
_____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________
Camp Director
T-Shirt Size
Head Coach
Eligibility: Boys & Girls Ages 6-15
Please Make Checks Payable to: WVU Tech Men’s Basketball
WVU Tech
2016 Little Stars Camp Application
Bob Williams
