“Randy Nesbit’s ability to teach the game, his

enthusiasm for young people, and his well-

known reputation in the coaching world are all

of the reasons why a player wishing to

develop his abilities further would benefit

greatly from a basketball camp experience

with Coach Nesbit.”

Mike Krzyzewski,

Head Coach, Duke University

Boy’s & Girl’s Middle School (6th-8th)

BASKETBALL CAMP July 30th – August 2nd 9:00am – 2:00pm

Randy Nesbit Head Coach , Men’s Basketball Roane State Community College

CAMP INSTRUCTOR:

From 9-year-old phenoms to

big-time college players,

Randy Nesbit has helped

thousands of players develop

better shooting mechanics,

dribble moves, driving

footwork and one-on-one

skills. Coach Nesbit and his

staff deliver a major college

camp experience for a

fraction of the price!

The $95 Registration includes:

Catered Lunch Each Day

Camp Tee Shirt

PROFESSIONAL Instruction

Small Camp and Multiple Courts

Personal Attention for Skill Development

Late Registration? Yes. After 7/23 add $15.

LOCATION:

First Baptist Concord, 11704 Kingston Pike, Farragut

DISCLAIMER: Who shouldn’t attend… anyone who can shoot like Ray Allen, handle like Steve

Nash, drive like Derrick Rose, post up like Kevin Love, or face-up one-on-one like Kobe Bryant.

Oh yeah… and anyone who thinks they’re already good enough.

CAMP APPLICATION

Name:

Address:

City: State: Zip:

Phone:

E-Mail:

Grade (2012-13): 6 7 8 Age: Height: Weight:

School:

Parent’s Name(s):

Parent’s Cell:

Emergency Contact:

Emergency Phone:

Medical Conditions:

T-Shirt Size (circle one): Youth Lg Adult Sm Adult Med Adult Lg Adult XL

WAivEr of LiAbiLity & DiscLAimEr

I, the parent or legal guardian of the above named individual, acknowledge that participation in athletic events necessarily involves risk of physical injury. In consideration for accepting the registration of the above named individuals and permitted the voluntary participation of said individual in its programs, I hereby release, discharge, and hold harmless Randy Nesbit, First Baptist Concord, Concord Christian School, and all their respective ministers, employees, volunteers and other representatives from any claims arising out of or in relation to any physical injury that may result to said individual while participating in summer sports camp events, including any physical injury by negligence of any official, referee or coach while performing his/her duties during any practices or games.

Signature of Parent or Legal Guardian Date

Emergency Authorization

I, the undersigned parent or legal guardian of the participant, a minor, hereby authorize the coaches, assistant coaches or pertains of team members acting in the capacity of activity supervisors/vehicle drivers, as my Agents to consent to medical, surgical or dental examination and/or treatment. In case of emergency, I hereby authorize treatment and/or care at any hospital. If there is an emergency and I cannot be reached, please contact the emergency contact listed on this form.

Signature of Parent or Legal Guardian Date

RETURN FORM AND CHECK FOR $95 (PAYABLE TO “CCS”) TO:

First Baptist Concord Attn: Julie Arnold 11704 Kingston Pike Knoxville, TN 37934

FOR QUESTIONS, SEND AN EMAIL TO: jarnold@fbconcord.org