PARENT PERMISSION PERMISSION OF PARENT OR GUARDIAN The undersigned parent, guardian, or legal representative, hereby requests that _______________________(name of child) be allowed to participate in Jerry Buckley Basketball Camp and all of its associated activities. For and in consideration of the child being allowed to participate in this camp, and other valuable consideration, the undersigned parent, guardian, or legal representative on behalf of the child and the child's parents, personal representatives, assigns, heirs, and next of kin, do hereby release and hold harmless the Bishop Kenny High School, Inc.; Felipe J. Estévez, as Bishop of the Diocese of St. Augustine, a corporation sole; Jerry Buckley Basketball Camp; all organizers of this camp; all volunteers, chaperones, employees, and agents of the said parties; and their personal representatives or assigns from any loss or damage on account of any injury to the person or the personal property of the child, or death, caused by negligence or otherwise, while the said child is engaged in the above-stated camp and any of the activities of the camp. The undersigned expressly agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida and that if any portion of this agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. The undersigned parent, guardian, or legal representative further acknowledges that he/she is authorized to enter this agreement on behalf of the child, the child's parents, personal representatives, assigns, heirs, and next of kin. I further authorize any representative of this camp to obtain medical treatment for my child in the unlikely event of an injury or illness during this program, and I agree to pay any expenses incurred for such treatment. (Parent/Guardian/Representative) _______________________________________ _______________________________________ (Date) Jerry Buckley Basketball Camp is not affiliated or associated with Bishop Kenny High School, Inc.
CAMP STAFF Jerry Buckley, Camp Director Head Basketball Coach/Director of Guidance Services, Bishop Kenny HS 904-505-8173 Byron Allmond Assistant Coach, Bishop Kenny HS Jeff Tranovich Assistant Coach, Bishop Kenny HS Jim Hayes Assistant Coach, Bishop Kenny HS Members of the Bishop Kenny basketball program will serve as camp counselors. The success of the Bishop Kenny basketball program has been built on a passion for excellence, enthusiasm, and a devoted love for the game. The staff’s goal is to improve every player’s skills. Our philosophy is based on the teaching of sound fundamentals and the execution of these fundamentals under game conditions. Bishop Kenny teams are characterized by their willingness to play hard, play smart, and play together.
Jerry Buckley’s Basketball Camp Located at Bishop Kenny H.S. 1055 Kingman Avenue Jacksonville, Florida 32207 Session 1: June 5-9, 2017 Boys entering grades 7-9 Cost: $125 Walk-up Registration: $135 9:00 a.m. to 12:00 p.m. Gym Doors open at 8:30 a.m. Session 2: June 12-16, 2017 Boys entering grades 4 -7 Cost: $125 Walk-up Registration: $135 1:00-4:00 p.m. Gym Doors open at 12:30 p.m. Session 3: June 19-23, 2017 Boys entering grades 9-12 Cost: $125 Walk-up Registration: $135 1:00-4:00 p.m. Gym Doors open at 12:30 p.m.
CAMP PROGRAM The purpose of Camp 2017 is to teach and develop basketball skills in all phases of the game. The camp will be expertly organized, and the program will consist of warm up, individual improvement stations, competitive drills, and league competition. All participants must wear athletic attire and basketball shoes.
OFFENSIVE SKILLS
Shooting Individual moves with the basketball Moving without the ball (setting and using screens) Ball handling (proper dribbling, passing, and receiving techniques) Offensive rebounding Position play (guard, forward, center)
TEAM CONCEPT/ATTITUDE
CAMP APPLICATION
Coaches and counselors will emphasize the development of the proper team concept and attitude as well as improvement on each player’s individual fundamental skills.
(Circle one) Session I Session II Session III
A Message from Coach Buckley “We are excited to have the opportunity to work with young players who are looking to improve their overall game. We feel that the skills learned at our camp can be the foundation needed to take your game to another level. Our goal for every player is to improve his fundamental tools as well as his enthusiasm for the great game of basketball.” CAMP FEATURES
DEFENSIVE SKILLS
Proper stance and movement Defending players with & without the basketball Defensive rebounding Concepts of team defense
Experienced coaching staff Excellent Facilities Instructional and motivational lectures 5 on 5 league competition Individualized instruction Excellent camper/staff ratio Campers grouped by age and abilities Individual Awards for 1 on 1 Champion Hot Shot Champion Free Throw Champion
Name______________________________ Age_________________________ Address____________________________ Zip_______Home Phone______________ School currently attending_____________ Grade entering 2017-18_______________ Parent’s Name_______________________ Email Address_______________________ Work Number_______________________ Cell Phone__________________________ Emergency Contact___________________ Insurance Company__________________ Policy Number ______________________ Coverage: PPO HMO Other T Shirt Size (circle one) Youth Medium Large Adult Small Medium Large XL Registration Information To register, please send Application & Permission Release Proof of insurance (photocopy of card) Camp Fee ($125) Check Payable to: Jerry Buckley Mail to: Jerry Buckley 9147 Timbermill Court Jacksonville, FL. 32256
Call Coach Buckley 904-505-8173 for more information.