University of San Francisco Attn: MBB 2130 Fulton Street San Francisco, CA 94117
Address Correction Required
INDIVIDUAL CAMP REGISTRATION Please Check the Sessions you wish to Attend
REX WALTERS
June 6th through June 10th (Individual Camp)
June 13th through June 17th (Individual Camp)
June 17th (Parent - Child Camp)
June 20th through June 24th (Individual Camp)
June 27th through June 30th (Individual Camp)
BASKETBALL CAMPS
Name
2011 INDIVIDUAL CAMPS:
Address
JUNE 6 - 10 JUNE 20 - 24
City
JUNE 13 - 17 JUNE 27 - 30
2011 TEAM CAMP: JUNE 10TH, 11TH &12TH
PARENT-CHILD CAMP: JUNE 17TH
Parent’s Name
State
Zip
E-mail Address Phone (
)
Date of Birth
/
/
Grad Class
School Emergency Contact Emergency Contact Phone (
)
Medical Conditions of Importance
All camps are to be PAID IN FULL at time of registration CC#
EXP
CHECKS PAYABLE TO: REX WALTERS BASKETBALL CAMPS University of San Francisco MBB, Attn: Wendell Raiford, 2130 Fulton Street, San Francisco, CA 94117 (415) 422-5279 CANCELLATION POLICY: Registration credits will be issued for cancellations made 30 days prior to the start of each camp session. Credits are fully transferable. In case of illness or injury during camp week, pro-rated credits will be rewarded for next year’s camp. RETURNED CHECKS: There will be a $25 charge for all checks returned due to insufficient funds. I hereby authorize the staff of the Rex Walters Basketball Camps to act for me in accordance with their best judgement in any emergency requiring medical attention & hereby waive & release the camp, its officers & its employees from any & all liability for any injuries or illness incurred while at camp. I have no knowledge of any physical impairment that would be affected by the above camper’s participation in the camp program, as outlined in this brochure (including strenuous physical activity).
Parent / Guardian Signature Health Insurance Provider Agreement / Group #
www.USFDONS.COM
Policy #
HIGH SCHOOL TEAM CAMPS:
TEAM CAMP REGISTRATION
Competition:
June 10th, 11th & 12th (2011 TEAM CAMP)
High School
Head Coach School Address City Phone (
State )
Instruction:
Four / Five Game Guarantee
Clinics with Dons Coaching Staff
Certified Referees
“Special Situation” Tournament
Pool Play & Championship Brackets
Evening Coach’s “Chalk Talk”
Varsity Caliber Teams only
Zip
Fax
Coach’s Home Address City Cell Phone (
State
Zip
)
Email Address All camps are to be PAID IN FULL at time of registration CC#
EXP
DEPOSIT: A non-refundable $250 deposit is required to secure your team in the camp on a first-come, first-serve basis. Final Registration documents will be mailed and must be returned with the balance of payment before June 1, 2011. (Teams not paid may be replaced off waiting list.)
PARENT CHILD CAMP:
ADDITIONAL INFORMATION: Cost of the Camp is $400.00 Per Team. Each player and coach will recieve one camp shirt. Space is limited to 32 teams. Coaches will have the opportunity to turn in official evaluations based on performance. On-site concessions stand during games (no meals will be provided).
How can you be “Parent-of-the-Year?”
CONFIRMATION & REGISTRATION: All players must have a completed registration form submitted on file in order to participate in the camp. No roster exceptions or substitutions will be allowed after the camp opens. TO SECURE YOUR CAMP RESERVATION WE MUST RECEIVE: This Coaches registration form A $250.00 non-refundable deposit before May 28th, 2010 All registration papers before June 7th 2010 This will reserve your spot in camp. Upon receipt we will send you additional information to complete the registration process. MEDICAL: All players and coaches are required to carry their own medical insurance. The parent’s or guardian’s personal or injury insurance policy will be utilized as the primary insurance for the treatment of injuries and/or hospitalization due to any illness or injury incurred during camp participation. Please be certain to complete and sign the USF consent form. Campers will not be allowed to participate in camp if this form is not signed. (This information will be sent upon receipt of the team application form).
INDIVIDUAL CAMP: AGES 6-16 8:00AM - 5:00PM
Be a parent who learns to teach his or her child Basketball techniques:
Shooting
Passing
Dribbling
Defense
Teamwork
This Camp teaches drills in balance. Our Parent & Child weekend camp will provide the shared experience of Basketball and quality time with your child and chance to meet new friends.
JUNE 6-10 JUNE 13-17 JUNE 20-24 JUNE 27-30 $300.00 Per Camper
Instruction: Here are the skills that each camper will learn and work on daily at our camp:
Proper Basketball Footwork
Lay-ups (Regular & Power)
Shooting (Set shots, Jump shots, Bank shots, Free-throws)
Dribbling & Ball Handling
Passing, Catching & Triple Threat Position
Rebounding
Defense (Stance & Position)
Individual Offensive Moves
HOUSING: Campus Housing is available at The University of San Francisco Please call for details. CHECKS PAYABLE TO: REX WALTERS BASKETBALL CAMPS University of San Francisco MBB, Attn: Wendell Raiford, 2130 Fulton Street, San Francisco, CA 94117 (415) 422-5279
QUESTIONS: Please contact Wendell Raiford at the USF Basketball office with camp-related questions: (415) 422-5279 or WRaiford@USFca.edu