Please Check the Sessions you wish to Attend

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)

Name

Parent’s Name

Address

City 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 cancel-lations 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 #

Policy #

INDIVIDUAL CAMP REGISTRATION

2011 INDIVIDUAL CAMPS: JUNE 6 - 10 JUNE 13 - 17 JUNE 20 - 24 JUNE 27 - 30

2011 TEAM CAMP:JUNE 10TH, 11TH &12TH

PARENT-CHILD CAMP:JUNE 17TH

www.USFDONS.COM

Un

iversity of San

Francisco

Attn

: MB

B2130 Fu

lton

StreetSan

Francisco

, CA

94117A

ddress Correction Required REX WALTERS

BASKETBALL CAMPS

Individual Camp - June 6-10 13-17 20-24 27-30Team Camp - June 10-11-12Parent Child Camp - June 17 (Fathers day gift?)

June 10th, 11th & 12th (2011 TEAM CAMP)

High School

Head Coach

School Address

City State Zip

Phone ( ) Fax

Coach’s Home Address

City State Zip

Cell Phone ( )

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.)

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).

CONFIRMATION & REGISTRATION: All players must have a com-pleted 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 insur-ance 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).

HOUSING: Campus Housing is available at The University of San Francisco Please call for details.

CHECKS PAYABLE TO: REX WALTERS BASKETBALL CAMPSUniversity of San Francisco MBB, Attn: Wendell Raiford, 2130 Fulton Street, San Francisco, CA 94117 (415) 422-5279

HIGH SCHOOL TEAM CAMPS:

QUESTIONS: Please contact Wendell Raiford at the USF Basketball office with camp-related questions: (415) 422-5279 or WRaiford@USFca.edu

AGES 6-16 8:00AM - 5:00PMJUNE 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

Competition: Four / Five Game Guarantee

Certified Referees

Pool Play & Championship Brackets

Varsity Caliber Teams only

Competition: Four / Five Game Guarantee

Certified Referees

Pool Play & Championship Brackets

Varsity Caliber Teams only

How can you be “Parent-of-the-Year?”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 qual-ity time with your child and chance to meet new friends.

Instruction: Clinics with Dons Coaching Staff

“Special Situation” Tournament

Evening Coach’s “Chalk Talk”

TEAM CAMP REGISTRATION

PARENT CHILD CAMP: INDIVIDUAL CAMP: