Medical Information 2014 NavyElite Camp

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Applicant’s Name _____________________________ (Please print)

Medical Treatment AuthorizationI/We being the legal guardians of the above applicant authorize the Naval Academy Athletic Association, the specific camp and its agents, permission to request medical treatment as necessary to insure the well being of the applicant.

___________________________________________________________________________

(Parent or Guardian Signature) (Date)

InsuranceCoverage for accidental injury is required by all participants. Please complete the health care information below.

Health Insurance Carrier: _______________________________

Policy Number: _______________________________________

I approve of my child’s attendance at the Naval Academy Athletic Association Sports Camp and certify that s/he is in good health and able to participate in all activities. I (am/am not) attaching a statement explaining special physical limitations and/or required medication. Please indicate if your child suffers from allergies, asthma, diabetes, restricted activities, etc. In further consideration of the Naval Academy Athletic Association accepting this application, I/we hereby agree to save and indemnify and keep harmless the Naval Academy Athletic Association, its agents and employees against any and all liability, claims, judgments or demands for damages arriving as a result of injuries sustained by the applicant during or as a result of any course given the applicant by the Naval Academy Athletic Association. Furthermore, as the parent/legal guardian for this child, I understand it is my responsibility to provide the Naval Academy Athletic Association with a COMPLETE AND VALID PHYSICAL EXAMINATION FOR THIS CAMPER PRIOR TO THE START OF CAMP.

_____________________________________________________(Parent or Guardian Signature) (Date)

_____________________________________________________(Emergency Contact) (Phone #) NAV

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Elite Overnight CampH June 19-20 H

Boys, Grades 9 – 12

Conducted by:

U.S. Naval AcademyMen’s Basketball Head Coach

Ed DeChellisand the Navy Coaching Staff

Sponsored by the NAAA

A Letter From Head Coach Ed DeChellis About the Camp Application

Elite Skill Overnight CampAges: Boys, Grades 9 – 12Dates: Thursday, June 19 – Friday, June 20, 2014Registration: 3 p.m. – 4 p.m. at Navy-Marine Corps Memorial Stadium; First meeting at 4:45 p.m. at Halsey Field House – Dressed to playMeals: Thursday, June 19 – Dinner is NOT provided – $12 large pizza may be purchased at 9 p.m.; Friday, June 20 – breakfast and lunch will be provided Dismissal: Friday, June 20, 3:30 p.m. at Halsey Field House; Shuttle will drop off at Navy-Marine Corps Memorial StadiumPrice: $150 Commuter / $175 OvernightBWI Airport Transportation: Contact Coach Perry at navybasketballcamp@usna.edu

Our Elite Skill Camp is made up of young men (grades 9 – 12) who play competitive basketball at a high level and wish to advance their skill set. Our experienced staff will incorporate drills and techniques we use with our players at the Naval Academy, focusing on the importance of fundamentals. Advanced team concepts, offensive and defensive strategy, and position-specific drills will also be incorporated in three-on-three instructional sessions and five-on-five team practices and games. We believe your son will grow as a player and also be able to spend time with young men who possess similar goals and dreams of playing in high school, college, and beyond.

Elite Skill Overnight Camp ScheduleJUNE 19 H Registration @ NMCMS, 3 p.m. – 4 p.m. H Skill Development Session H Five-on-Five Scrimmage H Three-on-Three Session H Shooting Drills / Lecture

JUNE 20 (breakfast and lunch provided) H Skill Development Session H Five-on-Five Practice / Games H Three-on-Three Teaching / Games H Lectures H Contests

Dismissal from camp is at 3:30 p.m. on Friday, June 20. Flights out of BWI need to be 6 p.m. or later.

What to Bring H Blanket H Twin Sheets H Pillow H Sweatshirt H T-shirts H Shorts H Sneakers H Socks H Alarm Clock H Toiletries H Camp Store Money

Dear Parent/Camper, My staff and I welcome the opportunity to share a part of the summer with you and your child at the United States Naval Academy. Our emphasis is on instruction, sportsmanship, and a positive atmosphere. We believe the wide variety of camps we are offering will meet the needs of your child, whether they are a beginner or advanced player. Camps will include the following: stretching,

individual skill development, team concepts and games, offensive and defensive strategy, overall game knowledge, competitive contests, lectures and nutritional needs. All campers will be divided into league based on age groups. Our staff will focus on creating an ethusiastic environment in which the values of teamwork and fair play are emphasized on a daily basis. It is our goal for each camper to improve their skills as a basketball player and as a teammate during their time at the United States Naval Academy. I look forward to seeing you at camp and thank you for your continued support of our basketball program. Go Navy!

Camp StoreThe Camp Store will carry beverages, snacks, and Navy Basketball apparel. Money may be deposited into the Camp Bank at registration for purchases during the week.

Directions to AnnapolisFrom the North: Take Interstate 95 South, exit on to Interstate 695 East in Baltimore, then take Interstate 97 South exit. Follow Interstate 97 until it merges into U.S. Route 50 East.

From the South: Take Interstate 95 North, Maryland Route 2 North, and U.S. Route 302/Maryland Route 3 North to intersect at U.S. Route 50. Travel East to Annapolis.

From U.S. Route 50: Exit Rowe Boulevard (Md. Route 70). Turn left at end of Rowe Boulevard onto College Avenue. Turn right at King George Street, which will take you to the Main Gate of the Naval Academy. You may request directions via email. *Registration will be at Navy-Marine Corps Memorial Stadium which is located on Rowe Boulevard.

Navy-Marine Corps Memorial Stadium: Enter the following address into your GPS for real-time directions to NMCMS: 550 Taylor Ave., Annapolis, MD 21401

Air Transportation: Baltimore-Washington International Airport (BWI) is convenient to Annapolis and serves most major airlines. We will be happy to provide transportation to and from the airport for a fee of $40.00 each way.

Active Military DiscountActive military receive 15% off each camp’s price. Proper identification is required.

Payment/Refund PolicyPlease DO NOT send cash. Please detach and mail the registration form and the full amount made payable to:

Navy Basketball CampRicketts Hall – Men’s Basketball

566 Brownson Rd.Annapolis, MD 21402

$50 of the deposit is non-refundable after the application is received. Refund for medical reason will be issued prorated to the amount of time spent at camp minus the non-refund-able deposit. The balance must be paid prior to registration.

Online registrations with a credit card are available athttp://navysports.collegesports.com/camps/navy-camps.html.

NAAA Tax ID# is 52-0613669.

Method of Payment for Campq Check Enclosed

Amount of Payment

Payment by Credit Card is accepted ONLINE ONLY at www.NavySports.com

Name ________________________________________________

Address ______________________________________________

City ______________________ State _____ Zip __________

Home Phone __________________________________________

Age ________________ DOB __________________________

Grade (Fall ’14) ______ School __________________________

Are you with a group? ___________________________________

Group Name __________________________________________

Group Leader _________________________________________

Email Address ________________________________________

Camp Cost q Elite Skill Camp – Commuter Cost: $150.00

q Elite Skill Camp – Overnight Cost: $175.00

3 Check the option you select