Fast Break '12 Brochure and Application

Download Fast Break '12 Brochure and Application

Post on 26-Jan-2017

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  • Randy Nesbits 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

    Boys & Girls Middle School (6th-8th)

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

    Randy Nesbit Head Coach , Mens 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 shouldnt 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 theyre already good enough.

  • CAMP APPLICATION

    Name:

    Address:

    City: State: Zip:

    Phone:

    E-Mail:

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

    School:

    Parents Name(s):

    Parents 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