CAMP REGISTRATION

Athlete Name: _____________________________

Address:__________________________________

City: _______________Postal Code: ___________

Date of Birth:___________________

Jersey Size: Youth � M � L � XLAdult � S � M � L

School:________________________ Grade:_____

Team: ________________ Position: ___________

Parent/Emerg. Contact: _____________________

Phone (H):___________Phone (W): ___________

Email: ____________________________________

Health Card #: ____________________________

Known Allergies: __________________________

RECREATIONAL SERVICES CAMP PARENTAL CONSENTI, the undersigned, hereby acknowledge that certain risks of injuryare inherent to participation in recreational activities and class-room activities. These types of injuries may be minor or seriousand may result from one’s actions, or the actions or interaction ofothers or a combination of both. I understand that certain activitiesrequire a minimum level of fitness and health (physical, mental andemotional) and that each person has a different capacity for par-ticipating in these activities. I hereby agree that the University ofWaterloo, its faculty, staff, and agents shall not be liable for any in-jury, loss or damage to person or property, incurred during thisprogram, including deterioration of health or illness or aggravationof condition resulting from participation in these activities. I de-clare having read and understood the above informed consentagreement in its entirety and hereby give my consent for the regis-trant to participate knowing all of the foregoing.

Print Name ____________________________________________

Signature ______________________________________________

Date: __________________________________________________

PLEASE SELECT YOUR CAMP

2011 WARRIOR BASKETBALL

SUMMER CAMPUNIVERSITY OF WATERLOO

Campers will get the chance to learn fromcurrent and former Waterloo Warriorswomen’s basketball players! These excel-lent role-models provide leadership andinstruction throughout the day’s activi-ties. Head Coach Tyler Slipp plans andimplements the curriculum with help fromhis assistant coaches and student ath-letes. All camps are open to Girls Aged 10– 17 (Campers will be grouped by age andskill level)

SHOOTING AND OFFENSIVE FUNDAMENTALS CAMP: AUGUST 15TH – 19TH Learn and compete with the offensiveskills needed to make an impact at thenext level! With the move to FIBA rules,Basketball in Canada has become a play-ers game. This camp will train your abilityto make decisions and execute funda-mental skills at the pace required to suc-ceed. There will be an emphasis on ballhandling skills, creative passing, shootingmechanics and decision making.

BACK TO SCHOOL CAMP:AUGUST 29TH – SEPT 2NDThis camp is designed to get participantsa competitive edge for their school teamtryouts that come a few weeks later.Campers will get fundamental skill workcombined with enough scrimmage andgames-approach drills to get a majorhead-start on the school season. Whetheryou are looking to play at the next levelor make an impact on your team, thiscamp will get you ready!

ALL CAMPERS WILL RECEIVE• 6 hours of basketball instruction

each day• Waterloo Warriors Women’s Basketball

T-Shirt or reversible jersey• 1 hour of swimming daily

CAMPERS NEED TO BRING• Basketball shoes with two pairs of socks• T-Shirt and shorts• Water bottle• Lunch and snacks• Bathing suit

DIRECTIONS (FROM HWY 401)• From east or west, follow highway 401

to exit 278, highway 8 West.

• Follow 8 West to 7 East (an expresswaycalled the Conestoga Parkway). Be sureto take the exit for 7 East, not 7 West.

• Keep left; do not exit on 7 East (VictoriaStreet and Guelph). Expressway be-comes 85 North (formerly 86).

• Exit at University Avenue West anddrive about 2 miles (3 km).

APPLICATION POLICY• Complete the registration form and re-

turn it to the University of Waterloo asindicated below.

• Registration closes one week beforescheduled start date for each camp

• Applications are processed on a firstcome first serve basis.

CANCELLATION POLICYAll cancellation requests must be re-ceived in writing prior to the start ofcamp and are subject to the followingconditions:

• 25% Cancellation Fee on cancellationreceived more than 10 working daysprior to the start of camp.

• 50% Cancellation Fee on cancellationsreceived on or less than 10 working daysprior to the start of the camp.

• No Shows - No refund.

� Shooting and Offensive Fundamentals Camp(August 15 - 19th)

Cost: $250 + HST

Drop off at 9:00 AM. Pick up at 4:30 PM

� Back to School Camp(August 29 - September 2)

Cost: $250 + HST

� Both Camps

Cost: $450 + HST

RETURN YOUR COMPLETED REGISTRATION AND PAYMENT TO:University of Waterloo WarriorsBasketball Summer Camps

ATTN: Tyler SlippuWaterloo Physical Activities Complex200 University Ave. W., Waterloo, ON N2L 3G1

Make cheques payable to:‘University of Waterloo Women’s Basketball’

For more information contact: Tyler Slipp(519) 888-4567 ext 35250tslipp@uwaterloo.ca